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Iowa rates for HCPCS L3933

Finger Orthosis Without Joints May Include Soft Interface Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.56 / $162.56 / $321.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.97 / $125.66 / $212.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $271.13 / $338.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.16 / $233.96 / $260.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.24 / $276.35 / $1,089.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.27 / $120.51 / $317.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.33 / $256.08 / $317.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.75 / $299.13 / $489.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.96 / $250.57 / $423.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.34 / $116.14 / $305.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.16 / $221.16 / $221.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.72 / $221.16 / $221.16