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Vermont 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
$517.95 / $517.95 / $597.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.70 / $858.70 / $858.70
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 / $811.76 / $865.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $607.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $812.46 / $865.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.00 / $628.74 / $1,227.02