go back

Utah 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
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