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Wyoming 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
$168.13 / $168.13 / $262.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.20 / $293.20 / $293.20
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 / $176.58 / $325.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $128.90 / $176.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $132.35 / $146.94