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Kansas rates for HCPCS L3901

Wrist Hand Finger Orthosis 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
$1,712.35 / $1,712.35 / $1,712.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.59 / $1,121.89 / $1,712.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.65 / $1,039.40 / $1,102.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.68 / $1,031.68 / $1,031.68
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 / $3,373.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.59 / $1,666.54 / $9,312.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.23 / $1,031.63 / $2,641.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.23 / $997.25 / $1,381.69