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Delaware rates for HCPCS L3809

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $153.37 / $168.70
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 / $146.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.02 / $184.02 / $184.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.68 / $133.51 / $209.46