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Missouri 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
$154.71 / $395.05 / $395.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $160.34 / $244.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.52 / $310.31 / $1,364.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.87 / $155.36 / $239.21
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 / $236.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.79 / $240.51 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.66 / $147.44 / $359.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $147.44 / $224.37