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Wyoming 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
$90.25 / $90.25 / $90.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.93 / $155.21 / $242.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.66 / $270.66 / $270.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.66 / $270.66 / $270.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $300.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $98.55 / $135.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.44 / $122.20 / $135.66