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Texas 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
$21.17 / $52.85 / $127.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $131.76 / $275.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.83 / $192.96 / $275.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $131.19 / $164.14
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.18 / $220.53 / $385.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.12 / $203.12 / $275.66
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 / $103.66 / $146.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.64 / $1,281.52 / $1,281.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.26 / $1,380.26 / $2,007.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.93 / $234.31 / $275.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.40 / $239.78 / $317.01
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $864.00 / $1,036.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.05 / $281.17 / $632.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.07 / $179.40 / $275.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $222.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $153.37 / $191.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.88 / $157.10 / $275.66