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Maine 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
$105.09 / $138.10 / $138.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.36 / $262.17 / $485.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.25 / $128.28 / $128.28
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 / $172.53 / $189.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.21 / $184.21 / $184.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.73 / $138.10 / $138.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $113.51 / $261.02