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Indiana rates for HCPCS L3935

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.89 / $119.89 / $242.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.28 / $122.14 / $130.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.36 / $216.80 / $242.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $131.80 / $177.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.70 / $266.45 / $363.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $266.45 / $327.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $242.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $135.22 / $248.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.98 / $116.97 / $162.68