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Utah 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
Facility
Modifier
Low / Median / High Price
$27.76 / $27.76 / $37.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.76 / $51.75 / $331.52
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 / $77.81 / $93.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $62.91 / $81.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.45 / $84.16 / $84.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $60.33 / $90.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $43.00 / $54.55