go back

Kansas 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
$1,477.74 / $1,477.74 / $1,477.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.43 / $968.17 / $1,477.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.16 / $1,341.07 / $1,422.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.12 / $1,331.12 / $1,331.12
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 / $2,573.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $1,438.18 / $7,437.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $886.19 / $2,279.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.92 / $830.26 / $1,186.08