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Oklahoma 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
$277.08 / $277.08 / $277.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $277.08 / $277.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.13 / $513.13 / $513.13
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 / $675.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $290.94 / $1,811.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.18 / $279.31 / $572.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.40 / $275.18 / $407.54