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Washington, DC 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
$109.53 / $109.53 / $109.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $109.53 / $153.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $178.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $103.66 / $103.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.95 / $173.95 / $531.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.01 / $133.51 / $249.94