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Rhode Island 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
$125.89 / $128.82 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $162.18 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $457.09 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $128.82 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $190.55