go back

Vermont 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
$125.89 / $158.49 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
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 / $181.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $204.17 / $602.56