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Maine 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
$47.06 / $52.31 / $56.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.65 / $99.31 / $184.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $54.63 / $54.63
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 / $39.31 / $53.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.78 / $69.78 / $69.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $52.31 / $59.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $43.00 / $98.88