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Wyoming 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
$15.14 / $15.14 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $263.03 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $120.23 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $123.03 / $190.55