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Alabama 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
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,318.26