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Delaware 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
$93.96 / $355.46 / $920.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.97 / $125.54 / $125.54
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 / $176.78 / $190.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.00 / $1,001.00 / $1,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.39 / $113.91 / $171.61