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Washington, DC 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
$192.87 / $466.74 / $834.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.87 / $192.87 / $192.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $253.00 / $322.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $214.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.31 / $306.31 / $935.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.97 / $696.97 / $696.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.74 / $235.10 / $353.24