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Washington 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

Facilitymedian $1,072 · 10th–90th $708$2,3440%20%10th90th$1,072Professionalmedian $708 · 10th–90th $447$1,5140%10%20%10th90th$708$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,348.96 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $588.84 / $977.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,047.13 / $1,047.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $602.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,445.44 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,258.93 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $724.44 / $891.25
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $1,071.52
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,096.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,548.82 / $2,137.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,047.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,584.89 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $489.78 / $933.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $1,621.81