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Illinois 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 $117 · 10th–90th $59$6030%20%10th90th$117Professionalmedian $65 · 10th–90th $51$1170%20%10th90th$65$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$162.18
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$95.50
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$95.50