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Arkansas rates for HCPCS L3930

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.36 / $56.36 / $56.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $56.36 / $56.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.54 / $115.86 / $128.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.81 / $92.81 / $98.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $98.16 / $98.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $81.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $79.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $46.58 / $63.49