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Idaho rates for HCPCS L3935

Finger orthosis (FO), nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.16 / $207.02 / $207.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $148.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $98.72 / $144.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.70 / $166.54 / $236.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.78 / $224.60 / $236.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $176.62 / $212.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.02 / $230.88 / $346.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.49 / $171.48 / $248.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.82 / $107.97 / $166.37