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Washington rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Facilitymedian $288 · 10th–90th $166–$6170%20%10th90th$288Professionalmedian $204 · 10th–90th $129–$5010%10%20%10th90th$204$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $194.98 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $371.54 / $371.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $281.84 / $281.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $177.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $398.11 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $346.74 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $199.53 / $245.47
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $288.40
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $288.40 / $346.74
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $575.44
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $281.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $436.52 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $446.68