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Alaska rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), 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
$831.76 / $954.99 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,445.44 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,737.80 / $4,897.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $1,819.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $891.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,318.26 / $4,466.84