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Colorado 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
$1,271.13 / $1,271.13 / $1,271.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.96 / $1,271.13 / $1,334.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.88 / $2,550.44 / $4,630.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,079.00 / $1,165.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.01 / $1,107.01 / $1,107.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $1,107.01 / $1,660.99
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.59 / $1,271.13 / $2,837.35
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.59 / $570.59 / $570.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.01 / $2,837.35 / $4,494.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.52 / $883.84 / $1,331.38