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Illinois rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.44 / $81.40 / $162.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.66 / $60.04 / $92.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.44 / $79.44 / $93.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.81 / $510.02 / $1,112.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $80.50 / $80.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $107.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $60.32 / $122.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.20 / $116.51 / $164.10
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $137.69 / $137.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $26.08 / $27.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.92 / $153.43 / $285.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $52.37 / $90.71