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Connecticut 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
$251.36 / $316.94 / $1,205.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.89 / $251.36 / $271.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.80 / $517.16 / $591.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.51 / $270.51 / $277.98
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 / $402.28
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.15 / $336.15 / $336.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $336.15 / $414.13
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.47 / $295.47 / $295.47
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.47 / $295.47 / $295.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.90 / $258.01 / $430.01