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Maine 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
$302.18 / $302.18 / $584.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $175.94 / $175.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.80 / $334.01 / $619.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.36 / $169.30 / $169.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $176.58 / $236.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.69 / $234.69 / $234.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.18 / $302.18 / $584.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $175.94 / $175.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.41 / $144.61 / $332.56