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Texas rates for HCPCS L3901

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Facilitymedian $1,413 · 10th–90th $794$4,1690%10%10th90th$1,413Professionalmedian $851 · 10th–90th $776$1,3490%50%10th90th$851$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $870.96 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $1,096.48
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $14,791.08 / $14,791.08
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,445.44 / $2,630.27
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $891.25 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,000.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,380.38 / $2,570.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,230.27 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,071.52 / $1,258.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,819.70 / $1,819.70