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Kentucky 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
$518.52 / $885.20 / $917.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.55 / $885.20 / $954.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.09 / $1,722.25 / $1,810.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.53 / $835.33 / $866.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.69 / $2,325.04 / $2,842.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.14 / $2,152.81 / $2,841.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $2,018.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,148.52 / $1,722.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.05 / $1,097.63 / $1,372.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.32 / $776.57 / $1,135.40