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Oklahoma 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
$55.05 / $55.05 / $81.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.01 / $55.05 / $62.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $101.94 / $101.94
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 / $84.45 / $94.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.32 / $69.92 / $539.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.42 / $55.49 / $115.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.42 / $52.49 / $74.05