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Indiana 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
$135.69 / $145.82 / $305.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.49 / $140.91 / $168.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.68 / $205.64 / $266.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.61 / $245.40 / $274.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.53 / $159.34 / $219.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.33 / $301.61 / $411.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.19 / $329.03 / $385.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $274.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $281.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $132.52 / $201.98