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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
$41.28 / $41.28 / $108.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $60.05 / $264.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $61.21 / $65.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $70.01 / $91.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.97 / $93.65 / $93.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.33 / $67.13 / $100.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $47.84 / $56.19