go back

Mississippi 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
$165.96 / $165.96 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $239.88 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $204.17