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Florida 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
$452.99 / $502.00 / $575.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.40 / $528.42 / $957.36
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 / $443.12 / $841.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.80 / $511.37 / $671.40
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.41 / $730.52 / $1,093.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.67 / $874.67 / $874.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.09 / $525.02 / $620.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.91 / $635.91 / $1,093.33