go back

Arkansas rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.30 / $53.30 / $53.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.72 / $53.30 / $57.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $76.72 / $76.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.79 / $109.58 / $121.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $95.90 / $103.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.30 / $103.30 / $103.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $76.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $43.74 / $72.06
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $88.23 / $134.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.96 / $44.59 / $60.70