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Idaho 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
Professional
Modifier
Low / Median / High Price
$37.79 / $71.13 / $104.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.12 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $43.74 / $100.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $74.23 / $105.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $100.13 / $105.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $77.78 / $92.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.29 / $102.93 / $154.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $73.78 / $110.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $47.41 / $75.88