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Arizona 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
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $645.65 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $724.44 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $630.96 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $724.44