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Washington, DC 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
$638.70 / $638.70 / $638.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.70 / $638.70 / $638.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.00 / $837.00 / $1,066.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $650.69 / $650.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.35 / $1,014.35 / $3,097.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.02 / $778.53 / $1,169.74