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Pennsylvania 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
$42.51 / $85.33 / $236.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $57.60 / $215.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $77.48 / $77.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.66 / $103.30 / $103.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $95.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $43.74 / $122.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.23 / $95.90 / $182.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.61 / $158.02 / $241.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $73.62 / $77.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $85.33 / $371.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.51 / $57.60 / $209.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $17.39 / $155.94
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $95.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $43.74 / $122.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $98.32 / $98.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $98.32 / $100.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $51.53 / $85.89