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Maryland 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
$638.70 / $642.24 / $1,219.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.00 / $837.00 / $1,066.77
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 / $650.69 / $1,181.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.38 / $1,560.54 / $2,247.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.21 / $778.53 / $1,240.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.61 / $854.61 / $1,092.38