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Colorado 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
$110.78 / $196.83 / $393.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $132.44 / $209.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.52 / $265.75 / $482.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.31 / $127.31 / $137.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $130.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $130.59 / $195.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $129.02 / $314.27
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $67.31 / $67.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.66 / $295.64 / $468.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.68 / $104.27 / $157.07