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West Virginia 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
$548.33 / $548.33 / $548.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.16 / $524.78 / $548.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.67 / $1,432.88 / $1,857.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.90 / $765.34 / $1,312.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $1,281.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $801.24 / $961.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.20 / $529.51 / $830.71