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West Virginia 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
$116.56 / $116.56 / $492.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $53.37 / $62.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $129.47 / $180.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $72.31 / $115.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $116.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $67.98 / $79.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $270.00 / $270.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $51.53 / $77.63