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Missouri 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
$259.47 / $268.91 / $542.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $268.91 / $425.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.66 / $520.44 / $2,287.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.68 / $291.27 / $401.20
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 / $396.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.38 / $401.19 / $2,319.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $247.28 / $602.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.04 / $221.99 / $396.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.91 / $247.28 / $509.34