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Wisconsin 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
$58.41 / $58.41 / $58.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $59.51 / $104.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.79 / $127.37 / $210.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.21 / $107.68 / $142.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $247.79 / $247.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $244.45 / $482.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $167.81 / $219.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.17 / $87.62 / $133.16
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.11 / $115.79 / $138.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $115.79 / $539.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $61.40 / $129.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $87.62 / $133.16
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.11 / $115.79 / $138.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.79 / $178.19 / $310.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.33 / $226.16 / $539.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $70.70 / $583.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.79 / $115.79 / $115.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.79 / $115.79 / $115.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.02 / $57.77 / $110.72