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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$48.98 / $66.07 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $223.87 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $63.10 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $93.33