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Florida 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
$800.10 / $886.68 / $1,015.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.32 / $886.68 / $1,690.94
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 / $808.12 / $1,574.40
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.92 / $1,185.89 / $1,185.89
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.38 / $1,194.50 / $1,931.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.24 / $975.76 / $1,073.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.83 / $953.38 / $1,267.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.76 / $975.76 / $1,061.38