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Utah 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
Facility
Modifier
Low / Median / High Price
$64.75 / $64.75 / $64.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $120.73 / $740.36
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 / $175.13 / $210.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.36 / $155.41 / $202.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.41 / $207.90 / $207.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $149.02 / $223.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.52 / $98.20 / $117.79