go back

Nevada 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
$1,469.98 / $1,469.98 / $1,696.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.32 / $1,469.98 / $1,721.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,304.52 / $4,304.52 / $4,304.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.51 / $1,966.25 / $4,304.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.28 / $2,017.28 / $3,168.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $2,017.28 / $2,844.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.69 / $3,443.62 / $5,595.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.08 / $1,610.60 / $2,684.34