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Utah 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
$37.10 / $37.10 / $37.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $53.96 / $331.52
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 / $53.85 / $57.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.03 / $62.91 / $81.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.45 / $84.16 / $84.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $60.33 / $90.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $43.00 / $53.96