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Michigan 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
$60.49 / $60.49 / $132.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.45 / $60.49 / $99.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $76.72 / $76.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.32 / $319.41 / $581.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.62 / $105.92 / $142.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.34 / $67.15 / $68.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.74 / $84.74 / $84.74
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 / $88.07 / $153.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.49 / $76.54 / $132.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $76.54 / $111.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.27 / $78.38 / $90.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $49.74 / $75.81