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Virginia 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
$122.47 / $132.32 / $315.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $132.32 / $186.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $267.62 / $284.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.53 / $148.53 / $185.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $149.40 / $182.95
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 / $211.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.33 / $240.86 / $321.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $162.44 / $299.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $334.53 / $445.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.62 / $202.57 / $335.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.62 / $202.57 / $335.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $133.51 / $201.12