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Arkansas rates for HCPCS L3924

Hand Finger Orthosis Without Joints May Include Soft Interface Straps Prefabricated Off-The- Shelf (Code Was Deleted 01/01/08 But Reinstated On 01/01/14) Wrist Hand Finger Orthosis Oppenheimer Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.30 / $53.30 / $53.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $53.30 / $72.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $76.72 / $76.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.79 / $109.58 / $121.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $103.30 / $105.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.30 / $103.30 / $132.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $76.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $61.21 / $74.92
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $88.23 / $88.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $108.68 / $127.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $47.63 / $67.69