go back

Indiana 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
$42.91 / $64.84 / $206.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.41 / $54.44 / $66.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.52 / $90.00 / $103.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.68 / $94.80 / $105.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.60 / $65.76 / $88.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.31 / $116.51 / $148.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $124.67 / $148.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $105.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $61.21 / $107.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.43 / $153.43 / $153.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $50.63 / $78.03