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Maine 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
$47.06 / $52.31 / $52.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.65 / $99.31 / $184.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.41 / $54.99 / $54.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $76.66 / $84.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.78 / $69.78 / $69.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $52.31 / $53.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $46.38 / $98.88