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Colorado 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
$169.82 / $234.42 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $346.74 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $158.49 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $309.03 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $131.83 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $199.53