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Indiana 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
$49.57 / $49.57 / $100.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.67 / $49.57 / $53.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.13 / $89.64 / $100.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $57.81 / $79.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.12 / $110.18 / $140.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.14 / $110.18 / $135.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $100.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $102.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $47.87 / $68.97