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Rhode Island 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
$1,484.29 / $1,938.98 / $2,014.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,803.04 / $6,487.16 / $7,680.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.49 / $1,785.28 / $2,985.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.96 / $2,017.28 / $2,017.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.61 / $2,017.28 / $2,017.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.05 / $1,694.79 / $2,824.65