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Illinois rates for HCPCS L3930

Hand Finger Orthosis Includes One Or More Non- Torsion Joint(S) Turnbuckles Elastic Bands/ Springs May Include Soft Interface Material Straps Prefabricated Off-The-Shelf (Code Was Deleted 01/01/08 But Reinstated 01/01/14) Wrist Hand Finger Orthosis Finger Extension Withwrist Support Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.48 / $51.48 / $51.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $53.80 / $91.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.21 / $482.23 / $1,051.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $76.12 / $76.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $122.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $116.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $183.63 / $241.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.21 / $130.21 / $130.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $65.56 / $68.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.83 / $49.96 / $87.73