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Alaska rates for HCPCS L3900

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Wrist Or Finger Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.66 / $1,524.66 / $1,524.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.35 / $1,181.16 / $1,258.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $459.43 / $459.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.22 / $1,690.84 / $2,669.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $459.43 / $891.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.35 / $1,190.72 / $1,399.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.23 / $1,701.87 / $2,219.84