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Colorado 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
$232.16 / $467.55 / $978.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.35 / $252.46 / $328.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.83 / $506.55 / $919.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.51 / $270.51 / $278.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $326.00 / $447.27
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $252.46 / $563.54
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.30 / $140.30 / $140.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.11 / $563.54 / $892.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.33 / $217.32 / $327.36