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Alaska rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.70 / $608.89 / $723.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.62 / $510.83 / $674.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.00 / $387.29 / $412.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $140.30 / $140.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.02 / $566.51 / $894.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $140.30 / $293.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.00 / $388.27 / $447.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $297.50 / $743.75