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Alabama 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
Facility
Modifier
Low / Median / High Price
$269.31 / $269.31 / $269.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.49 / $269.31 / $269.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.25 / $222.25 / $222.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $296.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $284.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $132.35 / $213.34