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Alaska rates for HCPCS L3918

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $67.61 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $75.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $67.61 / $95.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $109.65 / $114.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $112.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $123.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $87.10 / $251.19