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Wisconsin rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Facilitymedian $240 · 10th–90th $120$4790%20%10th90th$240Professionalmedian $178 · 10th–90th $105$3550%10%20%10th90th$178$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $134.90 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $138.04 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $549.54 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $338.84 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $194.98 / $295.12
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $346.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $234.42 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $263.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $269.15 / $467.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $354.81 / $660.69
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $478.63 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $190.55 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $199.53