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Idaho 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
$688.17 / $1,405.82 / $1,405.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,095.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $950.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $1,205.32 / $1,605.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.94 / $1,525.22 / $1,605.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,199.41 / $1,444.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.82 / $1,567.86 / $2,351.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.83 / $1,123.83 / $1,685.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.98 / $711.65 / $1,096.64