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Colorado 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
$65.56 / $65.56 / $65.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.21 / $65.56 / $87.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.07 / $131.54 / $238.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $67.95
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.32 / $65.56 / $146.34
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $146.34 / $231.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $51.62 / $77.76