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Vermont 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
$167.77 / $167.77 / $193.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.05 / $318.05 / $368.20
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 / $280.24 / $298.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $280.48 / $298.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.91 / $203.65 / $397.44