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Connecticut 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
$469.03 / $697.09 / $697.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.77 / $697.09 / $817.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.54 / $1,434.25 / $1,640.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.43 / $859.43 / $910.30
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 / $1,251.54
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.26 / $932.26 / $932.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.21 / $932.26 / $1,312.36
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.19 / $1,094.19 / $1,094.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.25 / $715.53 / $1,192.55