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Pennsylvania 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
$177.80 / $228.68 / $561.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.45 / $125.54 / $350.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.86 / $228.32 / $228.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $228.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $95.33 / $199.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.05 / $228.32 / $433.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.19 / $540.49 / $1,222.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $159.82 / $174.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.80 / $230.01 / $1,093.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.97 / $125.54 / $446.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $104.60 / $449.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $228.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $95.33 / $271.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.00 / $217.32 / $217.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $217.32 / $222.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.39 / $114.40 / $199.49