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Oklahoma 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
$516.91 / $516.91 / $761.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.76 / $507.33 / $582.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.24 / $957.24 / $957.24
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 / $789.33 / $887.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.88 / $656.58 / $5,063.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $480.31 / $1,081.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $403.87 / $691.73