go back

Colorado 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
$798.83 / $798.83 / $798.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.77 / $798.83 / $1,085.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.48 / $1,602.79 / $2,910.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.43 / $859.43 / $885.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,291.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $798.83 / $1,794.57
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.43 / $459.43 / $459.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.33 / $1,783.10 / $2,824.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.17 / $711.65 / $1,072.01