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Montana rates for HCPCS L3924

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $60.05 / $268.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.65 / $93.65 / $93.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.21 / $100.70 / $100.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.21 / $100.70 / $100.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.21 / $95.90 / $100.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.21 / $75.56 / $100.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.04 / $47.84 / $54.76