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Rhode Island 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
$463.74 / $583.45 / $629.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.64 / $2,026.83 / $2,399.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.99 / $597.63 / $959.82
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 / $819.47 / $887.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.75 / $529.51 / $882.51