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Illinois rates for HCPCS L3919

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.74 / $169.69 / $376.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.72 / $154.71 / $236.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.57 / $599.87 / $2,555.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.40 / $225.69 / $225.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $325.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $217.32 / $300.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.48 / $326.66 / $383.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.05 / $386.05 / $386.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $148.15 / $262.33