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Washington, DC 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
$725.32 / $725.32 / $725.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.32 / $725.32 / $725.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $950.00 / $1,211.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $808.12 / $808.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.92 / $1,151.92 / $3,517.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.41 / $884.12 / $1,376.17