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Alaska rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.97 / $354.46 / $4,996.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.54 / $195.59 / $258.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $130.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $180.80 / $195.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $67.31 / $67.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $342.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $67.31 / $130.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $180.80 / $212.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.36 / $218.33 / $284.77