go back

Montana rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $153.37 / $622.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.66 / $270.66 / $270.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $291.02 / $291.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $277.16 / $291.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $218.42 / $291.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.03 / $122.20 / $139.88