go back

Washington, DC 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
$118.64 / $118.64 / $118.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.64 / $118.64 / $118.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.35 / $176.35 / $198.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $128.90 / $128.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.41 / $188.41 / $575.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.41 / $144.61 / $304.18