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Montana rates for HCPCS L3929

Hand-finger orthosis (HFO), includes one or more nontorsion 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $51.75 / $260.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.16 / $84.16 / $84.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $90.49 / $90.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $90.49 / $90.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.34 / $86.18 / $90.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $69.42 / $99.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $43.00 / $50.59