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Washington, DC 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
$637.70 / $675.10 / $1,350.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.40 / $434.40 / $434.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.71 / $645.71 / $645.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $443.12 / $443.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.90 / $689.90 / $2,106.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.93 / $529.51 / $795.58