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Wyoming 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
$65.56 / $65.56 / $102.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.33 / $114.33 / $114.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.33 / $114.33 / $114.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $64.66 / $126.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $47.20 / $64.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $51.62 / $57.31