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Arizona 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

Facilitymedian $93 · 10th–90th $33–$2240%10%10th90th$93Professionalmedian $62 · 10th–90th $47–$1380%20%10th90th$62$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $61.66 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $123.03 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $64.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $79.43 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $51.29 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $77.62