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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
$32.29 / $32.29 / $234.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $180.61 / $267.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $167.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $143.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $188.51 / $267.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.86 / $254.24 / $267.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $197.50 / $235.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.34 / $261.35 / $392.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.33 / $194.01 / $281.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.98 / $122.20 / $188.30