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Iowa 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
$190.51 / $190.51 / $201.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $147.11 / $246.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $300.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $318.00 / $397.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $272.79 / $291.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.37 / $323.87 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.20 / $142.56 / $372.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.20 / $300.07 / $372.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.78 / $350.53 / $573.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $293.66 / $496.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.11 / $136.10 / $324.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $259.14 / $259.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.73 / $259.14 / $259.14