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West Virginia 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
$698.42 / $698.42 / $698.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.14 / $240.38 / $267.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.51 / $656.33 / $850.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.01 / $350.55 / $600.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $586.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $370.33 / $444.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.81 / $1,063.81 / $1,063.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.01 / $220.01 / $220.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.05 / $246.45 / $628.21