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Arizona 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
$194.47 / $267.24 / $438.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.64 / $461.10 / $833.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.08 / $425.46 / $579.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $278.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $278.04 / $410.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $243.57 / $2,319.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.43 / $221.99 / $574.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $220.01 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.63 / $221.99 / $574.98