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Arizona 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
$76.48 / $81.31 / $161.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $57.60 / $215.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.18 / $90.95 / $164.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.95 / $83.93 / $113.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $43.74 / $79.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $42.20 / $474.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $47.84 / $72.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $47.84 / $72.06