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Vermont rates for HCPCS L3923

Hand Finger Orthosis 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 (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $62.39 / $71.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.69 / $152.69 / $176.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.45 / $103.45 / $103.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $67.41 / $71.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $59.92 / $59.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $67.98 / $73.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $57.59 / $147.82