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Georgia 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
$42.66 / $380.19 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,122.02 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $616.60 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $213.80 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $229.09 / $457.09