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Missouri 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
$58.15 / $58.15 / $78.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.48 / $60.26 / $91.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.07 / $116.62 / $512.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $57.81 / $92.56
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 / $57.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.56 / $90.39 / $456.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $55.42 / $135.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $54.55 / $95.63