go back

Hawaii 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
$425.71 / $425.71 / $425.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.21 / $386.21 / $386.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.04 / $278.04 / $534.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.17 / $509.08 / $509.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.70 / $486.17 / $680.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.01 / $220.01 / $284.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.04 / $454.57 / $534.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.95 / $405.05 / $462.75