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Georgia 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
$130.91 / $310.99 / $919.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $165.38 / $333.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $204.00 / $344.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.68 / $385.95 / $1,011.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.74 / $229.23 / $440.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.48 / $234.33 / $510.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.33 / $234.33 / $234.33
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 / $143.91 / $244.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.52 / $275.68 / $383.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $340.83 / $520.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $137.54 / $226.90