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Idaho rates for HCPCS L3919

Hand Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.22 / $195.62 / $253.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $181.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $128.90 / $188.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.45 / $204.18 / $289.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $275.37 / $289.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $216.55 / $260.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.82 / $283.07 / $424.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.90 / $210.17 / $304.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.38 / $132.35 / $209.92