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Indiana 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
$146.97 / $146.97 / $304.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.33 / $152.62 / $159.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.60 / $265.77 / $296.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.86 / $155.36 / $214.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.96 / $326.66 / $445.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.42 / $326.66 / $400.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $296.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $304.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $141.55 / $199.42