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Iowa 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
$8.32 / $25.26 / $201.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $153.37 / $248.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $300.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $301.00 / $397.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.48 / $275.68 / $336.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.40 / $322.08 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.20 / $140.63 / $372.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.07 / $300.07 / $372.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.20 / $354.63 / $573.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $293.66 / $496.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $136.10 / $324.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $259.14 / $259.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.73 / $259.14 / $259.14