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Arizona rates for HCPCS L3904

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

Facilitymedian $3,548 · 10th–90th $1,122–$9,5500%10%10th90th$3,548Professionalmedian $1,950 · 10th–90th $1,479–$3,5480%20%10th90th$1,950$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $4,677.35 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,265.80 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,884.03 / $17,378.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,621.81 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,951.21 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $2,398.83