go back

Arkansas 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
$165.95 / $165.95 / $165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.72 / $165.95 / $165.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.75 / $341.15 / $379.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.86 / $289.86 / $298.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.86 / $289.86 / $289.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $238.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $233.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $134.49 / $179.90