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Mississippi 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
$2,203.06 / $2,203.06 / $3,511.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.19 / $2,512.86 / $3,511.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,046.37 / $3,046.37 / $3,046.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,046.37 / $3,046.37 / $3,046.37
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 / $2,017.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,828.86 / $2,927.54