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Oklahoma rates for HCPCS L3900

Wrist Hand Finger Orthosis 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
$681.38 / $681.38 / $1,004.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.14 / $681.38 / $856.75
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 / $1,020.00 / $1,291.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $893.34 / $7,437.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $711.65 / $1,425.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $688.90 / $1,020.96