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Utah rates for HCPCS L3809

Wrist Hand Finger Orthosis Without Joint(S) Prefabricated Off-The-Shelf Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.64 / $105.44 / $105.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $153.37 / $622.00
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 / $151.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $202.33 / $263.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.69 / $270.66 / $270.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.12 / $194.01 / $291.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $122.20 / $129.46