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Arizona 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
$97.44 / $97.44 / $97.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $159.34 / $300.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $274.89 / $497.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.25 / $253.66 / $345.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $244.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $165.79 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.51 / $132.35 / $199.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $132.35 / $199.38