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Texas 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
$51.99 / $53.01 / $54.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.21 / $54.03 / $76.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.41 / $55.41 / $69.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $116.42 / $116.42
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.01 / $539.41 / $539.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.01 / $583.01 / $848.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.03 / $75.80 / $116.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $75.80 / $94.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.96 / $75.80 / $116.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $51.62 / $94.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.02 / $62.47 / $80.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $66.38 / $116.42