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Maine 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
$80.11 / $80.11 / $162.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.93 / $153.05 / $162.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.02 / $308.38 / $571.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.53 / $156.31 / $156.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $196.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $218.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $216.67 / $216.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.11 / $80.11 / $80.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $161.82 / $162.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $203.66 / $296.45