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Michigan 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
$156.58 / $262.55 / $529.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.53 / $156.58 / $296.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.64 / $205.64 / $274.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.01 / $826.85 / $1,505.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.48 / $274.19 / $370.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.95 / $267.62 / $407.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.35 / $356.45 / $385.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $146.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $142.00 / $318.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.46 / $262.55 / $529.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.37 / $176.46 / $288.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.46 / $202.90 / $233.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $128.75 / $214.59