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Nationwide rates for HCPCS L3901

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.71 / $997.54 / $1,318.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.46 / $1,064.04 / $1,385.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.10 / $2,149.73 / $3,920.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,079.00 / $1,672.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.01 / $1,107.01 / $1,149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $1,107.01 / $1,660.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.26 / $953.38 / $1,473.07