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Nationwide rates for HCPCS L3917

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $61.66 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $64.57 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $61.66 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $56.23 / $89.13