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Washington, DC rates for HCPCS L3807

Wrist Hand Finger Orthosis Without Joint(S) Pre-Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.53 / $265.06 / $535.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $109.53 / $147.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $149.40 / $182.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $98.55 / $98.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.95 / $173.95 / $531.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.01 / $133.51 / $280.83