go back

Maine 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
$113.04 / $143.50 / $143.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.27 / $272.43 / $504.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $138.10 / $138.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $135.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $135.22 / $192.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $191.42 / $191.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $143.50 / $143.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.19 / $117.95 / $271.25