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Florida 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
$48.26 / $53.48 / $61.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.29 / $57.09 / $101.98
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 / $47.20 / $90.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $71.52 / $71.52
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $77.81 / $116.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.16 / $93.16 / $93.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.61 / $56.89 / $74.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $116.46