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Kansas 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
$896.06 / $896.06 / $896.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.88 / $587.07 / $896.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.33 / $847.02 / $898.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.73 / $840.73 / $840.73
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 / $607.00 / $1,575.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.88 / $872.08 / $5,063.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $521.85 / $1,036.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $511.03 / $723.02