go back

Idaho 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
$136.41 / $277.50 / $401.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.58 / $260.26 / $337.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.46 / $233.36 / $233.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $170.35 / $248.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.58 / $289.82 / $402.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.09 / $366.38 / $385.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $284.61 / $338.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.70 / $376.62 / $564.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.95 / $281.52 / $404.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.39 / $182.12 / $288.85