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Washington 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
$328.09 / $619.50 / $777.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.99 / $328.09 / $567.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.71 / $878.34 / $2,319.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.49 / $425.71 / $2,507.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.24 / $278.04 / $278.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $202.97 / $370.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.20 / $504.11 / $1,332.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.17 / $512.76 / $944.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.27 / $372.69 / $409.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.90 / $474.78 / $503.55
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.21 / $486.17 / $503.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.56 / $425.71 / $925.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.56 / $439.61 / $546.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.75 / $474.78 / $474.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.21 / $413.24 / $534.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.04 / $220.01 / $284.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $222.35 / $423.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.27 / $413.24 / $413.24