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Vermont rates for HCPCS L3919

Hand Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $141.44 / $175.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.33 / $179.33 / $207.59
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 / $223.49 / $238.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $223.69 / $238.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.41 / $171.72 / $335.11