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Arizona rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.27 / $166.27 / $352.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.39 / $147.11 / $545.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.72 / $240.86 / $240.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.26 / $253.83 / $458.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.65 / $234.20 / $316.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $225.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $186.50 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.33 / $122.20 / $184.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.44 / $122.20 / $175.31