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Utah rates for HCPCS L3808

Wrist Hand Finger Orthosis Ridgid Without Joints May Include Soft Interface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.58 / $207.24 / $224.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.58 / $219.26 / $1,118.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.36 / $233.36 / $233.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $233.36 / $340.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.08 / $293.69 / $381.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.26 / $392.87 / $392.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.71 / $281.61 / $422.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.23 / $182.12 / $233.20