go back

Idaho 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
$418.22 / $755.56 / $929.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $665.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $443.12 / $647.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.88 / $747.64 / $1,061.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.25 / $1,008.32 / $1,061.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $783.30 / $932.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.38 / $1,036.51 / $1,554.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.97 / $769.56 / $1,114.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.09 / $484.64 / $709.19