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Montana 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
Professional
Modifier
Low / Median / High Price
$45.28 / $59.35 / $331.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.16 / $84.16 / $84.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $90.49 / $90.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $90.49 / $90.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $86.18 / $90.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $67.91 / $99.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $43.00 / $50.59