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Connecticut 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
$59.30 / $515.86 / $650.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.89 / $515.86 / $583.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.58 / $1,061.39 / $1,214.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.99 / $635.91 / $635.91
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 / $860.13
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.90 / $689.90 / $689.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.90 / $689.90 / $976.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.83 / $774.83 / $774.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.10 / $529.51 / $882.51