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Missouri 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
$933.25 / $933.25 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $891.25 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,412.54 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,258.93