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West Virginia 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
Facility
Modifier
Low / Median / High Price
$177.60 / $177.60 / $525.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.56 / $169.97 / $177.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.17 / $464.10 / $601.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.46 / $247.87 / $424.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $414.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $276.61 / $332.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.25 / $467.25 / $467.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $177.17 / $298.62