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Rhode Island 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
$626.66 / $850.66 / $912.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.83 / $2,738.84 / $3,242.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.69 / $753.75 / $1,260.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.59 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,192.38 / $1,291.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.15 / $715.53 / $1,192.55