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Washington, DC 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
$1,321.32 / $1,321.32 / $1,321.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.32 / $1,321.32 / $1,321.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,731.00 / $1,731.00 / $1,731.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $1,472.61 / $1,472.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.44 / $2,098.44 / $6,408.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,610.60 / $3,015.14