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Alabama 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
$212.15 / $212.15 / $212.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $150.36 / $212.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $232.00 / $232.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.15 / $147.15 / $147.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $233.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $130.59 / $223.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $104.27 / $161.56