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New York 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
$103.83 / $211.57 / $1,042.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.50 / $236.29 / $425.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.17 / $495.89 / $972.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.27 / $291.27 / $776.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.70 / $405.05 / $405.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.05 / $405.05 / $405.05
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 / $399.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $486.17 / $1,093.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.14 / $359.77 / $875.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.43 / $351.43 / $351.43
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.43 / $527.70 / $560.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.30 / $251.30 / $551.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $586.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $300.47 / $577.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.20 / $220.01 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $249.83 / $444.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.70 / $527.70 / $527.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.43 / $527.70 / $560.67