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West Virginia 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
$806.21 / $806.21 / $806.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.09 / $771.59 / $806.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.46 / $2,106.73 / $2,730.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.35 / $1,205.58 / $2,066.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $2,018.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,165.85 / $1,399.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.47 / $790.08 / $1,355.51