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Oregon rates for HCPCS L3904

Wrist-hand-finger orthosis (WHFO), external powered, electric, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.36 / $1,938.98 / $12,419.60
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.87 / $6,837.96 / $8,918.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,936.59 / $2,653.13 / $3,228.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.42 / $3,034.69 / $3,389.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,562.63 / $3,228.39 / $4,304.52
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,905.55 / $3,228.39 / $4,304.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,936.59 / $2,826.89 / $3,389.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $2,826.89 / $3,551.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,689.71 / $5,368.68 / $11,326.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.42 / $3,551.23 / $3,551.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.06 / $1,610.60 / $3,072.83