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Maine 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
$47.93 / $95.15 / $148.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $66.05 / $77.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.72 / $147.33 / $273.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $60.80 / $60.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.21 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $44.68 / $61.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.51 / $103.51 / $103.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.93 / $95.15 / $148.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $77.59 / $93.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $63.79 / $146.69