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Arkansas 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
$21.38 / $239.88 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $295.12
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $275.42