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Indiana rates for HCPCS L3918

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.31 / $57.31 / $115.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.11 / $58.43 / $62.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.47 / $103.63 / $115.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $69.42 / $95.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.35 / $127.37 / $173.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.42 / $127.37 / $156.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $70.70 / $115.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $70.70 / $118.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.42 / $55.36 / $81.56