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Maine 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
$434.82 / $434.82 / $434.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.42 / $295.10 / $295.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.40 / $560.21 / $1,038.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.32 / $284.32 / $291.27
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 / $278.04 / $397.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.63 / $393.63 / $393.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.82 / $434.82 / $434.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.74 / $295.10 / $295.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.38 / $220.01 / $220.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $242.54 / $557.77