go back

Utah rates for HCPCS L3918

Hand Orthosis Metacarpal Fracture Orthosis Prefabricated Off-The-Shelf (Code Was Deleted 01012008 But Reinstated On 01012014) Hand Finger Orthosis Knuckle Bender Prefabrcated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.54 / $44.54 / $44.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $51.99 / $326.32
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 / $70.70 / $75.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.18 / $85.46 / $111.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.51 / $114.33 / $114.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $81.95 / $122.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $51.62 / $62.09