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West Virginia 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
$50.71 / $50.71 / $50.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $48.53 / $53.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.80 / $125.29 / $171.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.80 / $68.70 / $111.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $112.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $470.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $51.14 / $84.51