go back

Connecticut rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.81 / $82.04 / $130.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $130.07 / $159.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.41 / $267.62 / $306.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.29 / $157.10 / $157.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $146.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $103.66 / $142.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.95 / $173.95 / $173.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.95 / $173.95 / $246.21
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.11 / $121.11 / $161.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $161.44 / $167.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.89 / $133.51 / $222.52