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Alaska rates for HCPCS L3929

Hand Finger Orthosis Includes One Or More Non- Torsion Joint(S) Turnbuckles Elastic Bands/ Springs May Include Soft Interface Material Straps Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $102.09 / $102.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.08 / $80.88 / $86.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $27.76 / $27.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.19 / $113.21 / $178.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.43 / $91.43 / $116.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.43 / $116.38 / $240.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $27.76 / $70.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $84.01 / $135.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $113.95 / $148.63