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Utah 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
$67.31 / $67.61 / $87.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $130.61 / $526.00
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 / $130.59 / $195.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.05 / $172.67 / $224.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.11 / $230.98 / $230.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.54 / $165.56 / $248.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.64 / $104.27 / $133.51