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Maine rates for HCPCS L3923

Hand Finger Orthosis 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 (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.86 / $110.93 / $249.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $77.59 / $77.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.72 / $147.33 / $273.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.04 / $61.20 / $61.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.19 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $65.48 / $71.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.51 / $103.51 / $103.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.86 / $110.93 / $249.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $77.59 / $112.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $63.79 / $146.69