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Alabama rates for HCPCS L3905

Wrist-hand orthosis (WHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.08 / $986.08 / $986.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.78 / $976.51 / $986.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.47 / $739.47 / $739.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $1,087.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $607.00 / $1,040.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $480.31 / $730.04