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Mississippi 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
$616.60 / $616.60 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $588.84 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $870.96 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $741.31