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Florida rates for HCPCS L3916

Wrist Hand Orthosis Includes One Or More Non- Torsion Joint(S) Elastic Bands Turnbluckes May Include Soft Interface Straps Prefabricated Offthe Shelf (Code Was Deleted 01/01/08 And Reinstated 01/01/14) Wrist Hand Finger Orthosis Wrist Extension Cock-Up With Outrigger Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.81 / $269.08 / $321.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.84 / $287.35 / $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 / $325.37
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.20 / $458.68 / $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
$248.93 / $292.38 / $407.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.80 / $325.80 / $586.05