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Delaware 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
$193.93 / $490.08 / $1,897.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.94 / $261.62 / $287.79
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 / $377.51 / $402.28
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.24 / $471.24 / $471.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $235.10 / $354.15