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Idaho rates for HCPCS L3809

Wrist Hand Finger Orthosis Without Joint(S) Prefabricated Off-The-Shelf Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.38 / $228.05 / $351.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.45 / $204.00 / $272.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $142.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $151.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.40 / $231.18 / $267.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.86 / $267.62 / $267.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $197.50 / $235.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.34 / $261.35 / $392.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.33 / $194.01 / $281.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.03 / $122.20 / $193.80