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Illinois 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
$62.67 / $192.00 / $200.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $153.37 / $254.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.38 / $191.93 / $206.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.93 / $1,320.24 / $2,879.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.08 / $208.38 / $208.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $300.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $318.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.32 / $286.23 / $392.66
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.45 / $356.45 / $356.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.03 / $110.05 / $115.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.39 / $136.78 / $240.17