go back

Washington, DC 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
$46.29 / $46.29 / $46.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.29 / $46.29 / $46.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.12 / $63.12 / $77.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $47.20 / $47.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $73.52 / $224.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $56.42 / $84.78