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Oklahoma 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
$44.10 / $111.22 / $274.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.10 / $111.22 / $209.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.24 / $188.17 / $188.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.96 / $205.96 / $205.96
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 / $174.15 / $195.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $141.28 / $1,089.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $112.12 / $232.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $104.27 / $149.59