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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$81.25 / $147.11 / $158.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.38 / $511.06 / $605.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.09 / $150.69 / $242.01
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 / $208.08 / $225.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.54 / $143.05 / $222.52