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Maine 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
$54.03 / $68.65 / $68.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.60 / $130.34 / $241.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $65.59 / $66.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $70.70 / $70.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $51.62 / $70.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.57 / $91.57 / $91.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $68.65 / $68.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $56.69 / $129.75