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Washington 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
$70.45 / $159.94 / $166.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.57 / $70.45 / $121.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.43 / $168.27 / $456.49
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $91.43 / $551.57
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.51 / $112.12 / $298.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $107.11 / $185.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.04 / $80.05 / $88.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.16 / $101.96 / $104.41
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $82.95 / $82.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.67 / $91.43 / $198.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.67 / $98.90 / $150.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $101.96 / $101.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $88.75 / $114.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.08 / $47.22 / $82.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $88.75 / $88.75