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Oregon 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
Professional
Modifier
Low / Median / High Price
$250.21 / $341.27 / $1,641.41
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 / $237.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $1,102.97 / $1,438.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.12 / $435.02 / $568.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.62 / $540.46 / $597.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $568.90 / $648.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $498.15 / $597.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $498.15 / $625.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.98 / $946.06 / $1,995.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.25 / $625.79 / $625.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.20 / $259.77 / $495.62