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Arkansas rates for HCPCS L3808

Wrist-hand-finger orthosis (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.80 / $204.76 / $633.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.73 / $204.76 / $219.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.70 / $294.70 / $294.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.02 / $420.91 / $467.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.23 / $368.23 / $400.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.22 / $400.22 / $400.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.36 / $233.36 / $294.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $233.36 / $287.80
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.91 / $338.91 / $338.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.42 / $180.50 / $245.52