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Missouri 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
$11.50 / $68.29 / $175.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $54.99 / $115.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.59 / $76.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.91 / $102.81 / $451.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $58.04 / $79.26
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 / $71.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.89 / $78.92 / $474.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $48.85 / $119.02
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $88.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $48.85 / $73.22