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Michigan 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
$60.49 / $96.17 / $214.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.89 / $60.49 / $100.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.44 / $79.44 / $105.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.32 / $319.41 / $581.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.62 / $105.92 / $142.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.34 / $103.30 / $157.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.74 / $134.26 / $148.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $61.21 / $122.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.64 / $100.75 / $214.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $84.73 / $112.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.62 / $78.38 / $90.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $127.86 / $127.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $49.74 / $82.90