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Rhode Island rates for HCPCS L3921

Hand-finger orthosis (HFO), 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
Professional
Modifier
Low / Median / High Price
$150.21 / $188.98 / $203.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.05 / $656.48 / $777.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.67 / $180.67 / $302.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $282.89 / $306.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.03 / $171.50 / $285.83