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Idaho 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
$79.43 / $79.43 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $162.18 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $257.04 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $134.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $257.04 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $245.47 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $263.03 / $263.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $138.04 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $123.03 / $169.82