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Utah 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
$93.72 / $93.72 / $143.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $223.62 / $1,402.71
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 / $410.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.91 / $367.60 / $477.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.93 / $491.75 / $491.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.02 / $352.49 / $528.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.99 / $221.99 / $290.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.82 / $221.99 / $284.23