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Wyoming 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
Professional
Modifier
Low / Median / High Price
$48.26 / $48.26 / $75.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.16 / $84.16 / $84.16
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 / $53.85 / $122.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $53.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $43.00 / $55.42