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Wyoming 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
$199.38 / $199.38 / $311.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.70 / $347.70 / $347.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.70 / $347.70 / $347.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $385.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $212.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.87 / $156.97 / $174.27