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Idaho 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
$93.72 / $93.72 / $93.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.57 / $425.71 / $425.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $304.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $202.97 / $296.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $348.41 / $486.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.55 / $461.86 / $486.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $363.21 / $437.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.71 / $474.78 / $712.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.32 / $352.49 / $510.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $256.55 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $221.99 / $352.07