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Vermont 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
Professional
Modifier
Low / Median / High Price
$699.91 / $699.91 / $807.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,054.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,165.85 / $1,258.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,054.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.37 / $1,181.16 / $1,258.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.02 / $902.94 / $1,658.08