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Alaska rates for HCPCS L3806

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.48 / $416.48 / $416.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $278.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.04 / $378.76 / $410.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.86 / $461.86 / $729.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.71 / $425.71 / $474.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.67 / $474.78 / $979.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $328.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.39 / $386.21 / $553.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.01 / $290.45 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.97 / $464.88 / $606.36