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Florida rates for HCPCS L3915

Wrist Hand Orthosis Includes One Or More Non- Torsion Joint(S) Elastic Bands Turnblocks May Include Soft Interface Straps Prefabricated Itemthat Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.81 / $269.08 / $308.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.84 / $283.25 / $513.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $325.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $454.80
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.65 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.74 / $445.90 / $586.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.84 / $468.84 / $468.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.79 / $286.27 / $372.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.64 / $316.64 / $586.05