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Michigan 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
$142.60 / $156.58 / $457.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.69 / $147.27 / $200.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.64 / $206.76 / $274.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.01 / $826.85 / $1,505.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.48 / $274.19 / $370.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.95 / $178.22 / $179.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.35 / $219.35 / $219.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $318.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.60 / $198.13 / $457.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.11 / $198.13 / $287.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.46 / $202.90 / $233.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $128.75 / $196.24