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Wyoming 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
$798.83 / $798.83 / $1,249.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.05 / $1,393.05 / $1,393.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.05 / $1,393.05 / $1,393.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,962.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $650.69 / $891.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.21 / $711.65 / $790.08