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Kansas 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
$76.91 / $213.53 / $225.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $153.37 / $225.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.46 / $204.59 / $204.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $234.48 / $234.48
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 / $397.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.00 / $213.53 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $136.10 / $275.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $136.10 / $213.53