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Pennsylvania rates for HCPCS L3921

Hand Finger Orthosis Includes One Or More Nontorsion Joints Elastic Bands Turnbuckles May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.47 / $141.47 / $547.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.53 / $156.53 / $216.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $343.78 / $343.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $343.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $301.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.27 / $343.78 / $653.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.00 / $354.00 / $354.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.47 / $141.47 / $547.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.53 / $165.56 / $525.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $161.69 / $556.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $343.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $408.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.79 / $327.20 / $327.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.79 / $327.20 / $335.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $173.22 / $310.02