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West 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
$152.08 / $750.72 / $750.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $138.26 / $152.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.19 / $361.29 / $468.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.95 / $192.98 / $330.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $323.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $203.45 / $244.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.08 / $64.08 / $711.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $180.71 / $187.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.41 / $135.66 / $223.51