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Idaho rates for HCPCS L3931

Wrist Hand Finger Orthosis Includes One Or More Nontorsion Joint(S) Turn- Buckles Elastic Bands/Springs May Include Soft Interface Material Straps Pre- Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.11 / $158.86 / $180.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $125.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $91.70 / $223.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $174.37 / $212.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.57 / $195.88 / $206.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $152.16 / $181.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.55 / $201.36 / $302.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $149.02 / $216.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $100.29 / $154.54