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Michigan 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
$118.43 / $169.59 / $213.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.32 / $169.59 / $175.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.47 / $895.51 / $1,631.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.11 / $296.95 / $400.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.41 / $193.02 / $194.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.57 / $237.57 / $237.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.21 / $176.58 / $344.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.43 / $214.60 / $214.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.50 / $214.60 / $311.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.78 / $219.75 / $252.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.64 / $139.46 / $209.92