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Pennsylvania 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
$162.18 / $512.86 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $524.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $245.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $851.14
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $407.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $891.25 / $1,819.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $426.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $512.86 / $2,041.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $645.65
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $707.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $707.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $288.40 / $380.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $288.40 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $446.68