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New York 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
$83.18 / $213.80 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.97 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $234.42 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $446.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $223.87 / $223.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $436.52 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $281.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $446.68 / $1,047.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $524.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $165.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $169.82 / $177.83
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $158.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $281.84 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $229.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $169.82 / $190.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $169.82 / $177.83