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Indiana 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
$246.52 / $246.52 / $1,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.04 / $256.00 / $389.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.48 / $445.77 / $498.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.02 / $291.27 / $393.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.59 / $547.88 / $747.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.36 / $547.88 / $672.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $498.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $278.04 / $510.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.32 / $258.99 / $352.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $238.11 / $347.11