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Georgia 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
$45.54 / $108.18 / $518.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.54 / $59.12 / $113.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.34 / $151.34 / $178.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $134.26 / $351.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $79.73 / $153.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.52 / $90.03 / $177.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $81.52 / $81.52
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 / $66.48 / $79.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.23 / $95.90 / $133.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.56 / $122.26 / $180.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $45.85 / $78.94