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Oklahoma 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
$130.35 / $130.35 / $130.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.52 / $130.34 / $153.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $135.00 / $358.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.38 / $241.38 / $241.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $146.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $146.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.80 / $179.40 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $131.78 / $269.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $128.59 / $191.71