go back

Illinois 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
$151.36 / $234.42 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $575.44 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $323.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $389.05
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
$389.05 / $389.05 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $239.88 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $229.09