go back

New York 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
$32.65 / $44.60 / $135.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $57.60 / $115.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $97.82 / $191.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.04 / $58.04 / $154.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.30 / $79.89 / $79.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $79.89 / $79.89
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 / $71.77
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $215.78 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.55 / $71.93 / $172.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.44 / $64.44 / $64.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $61.26 / $77.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.93 / $101.93 / $101.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.79 / $77.79 / $77.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $67.98 / $123.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $47.84 / $87.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $57.66 / $57.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $64.44