go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$237.24 / $237.24 / $273.74
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 / $375.19 / $399.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $278.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $375.52 / $399.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.01 / $220.01 / $277.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $287.98 / $613.30