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North Carolina 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
$438.50 / $507.78 / $785.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.14 / $438.50 / $462.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.50 / $481.80 / $914.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.64 / $375.59 / $400.62
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 / $324.00 / $444.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $438.50 / $601.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.35 / $376.35 / $376.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.40 / $583.40 / $897.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.04 / $220.01 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.73 / $247.61 / $452.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.46 / $2,319.50 / $2,319.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.67 / $3,646.28 / $3,646.28