go back

Arkansas 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
Facility
Modifier
Low / Median / High Price
$800.95 / $800.95 / $800.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.77 / $800.95 / $800.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.01 / $1,646.49 / $1,829.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.54 / $1,560.54 / $1,722.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.54 / $1,560.54 / $1,560.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,152.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,125.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $686.86 / $903.03