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West Virginia 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
$53.37 / $53.37 / $53.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $53.37 / $63.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.30 / $123.96 / $158.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $115.08 / $239.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $116.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $61.21 / $488.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $69.75 / $72.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $108.68 / $108.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.04 / $53.12 / $85.89