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Missouri 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
$15.50 / $142.81 / $190.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.10 / $148.00 / $359.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.72 / $327.35 / $357.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.79 / $286.43 / $1,259.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.61 / $148.53 / $220.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.00 / $218.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.55 / $220.80 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $136.10 / $331.59
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.61 / $253.61 / $253.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $136.10 / $216.67