go back

Idaho 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
Professional
Modifier
Low / Median / High Price
$45.28 / $91.43 / $95.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $53.85 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $57.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.27 / $73.55 / $104.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.43 / $101.96 / $152.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $109.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $43.00 / $67.45