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Nationwide rates for HCPCS L3904

Wrist-hand-finger orthosis (WHFO), external powered, electric, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,949.84 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,137.96 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,754.23