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Nationwide rates for HCPCS L3917

Hand Orthosis Metacarpal Fracture Orthosis Pre- Fabricated Item That Has Been Trimmed Bent Moldemolded Assembled Or Otherwise 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
$58.43 / $59.51 / $73.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $62.14 / $85.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.11 / $120.98 / $226.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.12 / $62.92 / $90.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $64.66 / $64.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $64.66 / $94.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.02 / $56.42 / $84.97