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Alaska rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.62 / $248.31 / $248.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $225.62 / $244.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $85.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.37 / $275.37 / $434.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $85.45 / $176.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $225.62 / $264.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.10 / $277.17 / $361.53