go back

Pennsylvania 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
$97.30 / $222.38 / $230.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.52 / $113.86 / $168.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.02 / $236.42 / $236.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $236.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $98.72 / $207.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.51 / $236.42 / $449.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.67 / $127.81 / $127.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.38 / $222.38 / $230.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.52 / $119.74 / $227.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $111.20 / $465.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $236.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $98.72 / $280.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.04 / $225.03 / $225.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.04 / $225.03 / $230.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $118.45 / $213.22