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Montana 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
Professional
Modifier
Low / Median / High Price
$155.46 / $175.27 / $836.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $293.20 / $293.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $315.25 / $315.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $315.25 / $315.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $300.24 / $315.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.58 / $236.61 / $315.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $132.35 / $151.51