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Montana 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
$57.60 / $57.60 / $276.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.65 / $93.65 / $93.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $100.70 / $100.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $100.70 / $100.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $95.90 / $100.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $77.25 / $100.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.24 / $47.84 / $54.76