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Illinois 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
$216.58 / $256.00 / $570.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.49 / $259.47 / $425.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.36 / $423.36 / $423.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.66 / $1,006.06 / $4,285.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $378.53 / $378.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $545.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $364.82 / $504.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.22 / $547.88 / $650.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.49 / $647.49 / $647.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.18 / $401.69 / $421.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.32 / $220.01 / $498.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.99 / $248.48 / $522.97