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Georgia 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
Facility
Modifier
Low / Median / High Price
$237.82 / $237.82 / $564.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.39 / $300.39 / $425.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.78 / $701.09 / $1,837.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.82 / $416.39 / $799.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.24 / $425.66 / $926.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.66 / $425.66 / $425.66
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 / $296.39 / $410.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.59 / $500.78 / $695.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.83 / $220.01 / $246.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.56 / $249.83 / $490.11