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Utah 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
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