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Colorado 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
$2,410.53 / $2,410.53 / $2,410.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.93 / $2,410.53 / $2,431.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,304.52 / $4,836.56 / $8,781.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.25 / $1,966.25 / $2,123.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.28 / $2,017.28 / $2,017.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $1,472.61 / $3,454.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.78 / $2,410.53 / $5,380.65
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.78 / $1,039.78 / $1,039.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,142.30 / $5,380.65 / $8,522.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.42 / $1,610.60 / $2,426.16