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California 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
$222.95 / $353.72 / $1,675.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.86 / $261.63 / $1,309.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.76 / $416.76 / $416.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.68 / $818.48 / $1,843.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.89 / $270.51 / $516.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $687.63 / $1,227.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $770.63 / $1,795.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.47 / $293.31 / $310.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $412.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.45 / $372.55 / $638.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.49 / $406.57 / $882.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.03 / $2,758.85 / $2,758.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.89 / $2,787.89 / $3,376.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.00 / $893.00 / $893.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $465.70 / $580.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $326.00 / $447.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.27 / $1,096.27 / $1,096.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.45 / $464.65 / $465.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $580.80 / $580.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.93 / $221.13 / $586.00