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Utah 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
$40.74 / $63.10 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $72.44 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $64.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $70.79 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $83.18 / $144.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $102.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $104.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $47.86 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $47.86 / $75.86