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Colorado 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
$615.65 / $704.00 / $704.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.89 / $615.65 / $823.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.36 / $1,235.25 / $2,242.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.91 / $635.91 / $686.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $607.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $607.01 / $887.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.88 / $554.09 / $1,460.82
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.88 / $312.88 / $312.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.54 / $1,374.21 / $2,176.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.52 / $484.64 / $730.04