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Alabama 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
$3,545.55 / $3,545.55 / $3,545.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.36 / $3,545.55 / $3,545.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.94 / $2,925.94 / $2,925.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.28 / $2,017.28 / $3,701.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $2,017.28 / $3,240.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,707.36 / $2,451.53