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Wyoming 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
$281.99 / $281.99 / $440.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.75 / $491.75 / $491.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.75 / $491.75 / $491.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $545.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $202.97 / $278.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.61 / $220.01 / $220.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.63 / $221.99 / $246.45