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Wyoming 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
$615.65 / $615.65 / $962.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.59 / $1,073.59 / $1,073.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.59 / $1,073.59 / $1,073.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $1,190.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $443.12 / $607.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.02 / $484.64 / $538.04