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Rhode Island 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
$116.93 / $153.37 / $184.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.38 / $511.06 / $605.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.63 / $146.62 / $238.87
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $142.56 / $222.52