go back

West Virginia 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
$90.24 / $94.00 / $94.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $138.26 / $159.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $321.14 / $411.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.33 / $330.82 / $620.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $146.03 / $323.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $142.00 / $1,319.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.00 / $99.00 / $99.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $179.37 / $267.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.20 / $146.62 / $267.62