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Indiana 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
$126.50 / $135.69 / $274.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.49 / $140.91 / $161.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $205.64 / $287.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.61 / $245.40 / $274.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.76 / $148.53 / $204.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.76 / $301.61 / $411.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.06 / $301.61 / $370.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $274.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $244.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $133.51 / $196.24