go back

Oregon 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
$258.95 / $258.95 / $258.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.16 / $173.88 / $666.00
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 / $128.90 / $176.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.90 / $561.78 / $732.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.88 / $238.22 / $289.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.53 / $272.47 / $304.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.09 / $289.86 / $318.85
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.09 / $289.86 / $300.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.88 / $253.82 / $304.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $253.82 / $318.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.50 / $482.04 / $1,016.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.28 / $318.85 / $318.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.59 / $132.35 / $252.52