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Oklahoma 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
$1,526.52 / $1,526.52 / $2,249.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.98 / $1,526.52 / $1,938.98
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 / $2,017.28 / $2,017.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.78 / $2,001.40 / $17,217.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,610.60 / $3,193.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,543.37 / $2,310.62