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Iowa 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
$327.99 / $386.10 / $386.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.87 / $281.00 / $419.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $484.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.70 / $644.25 / $805.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.05 / $484.02 / $555.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.81 / $566.20 / $2,269.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.66 / $245.52 / $602.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.29 / $484.70 / $661.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.00 / $572.83 / $926.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.45 / $566.79 / $991.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.97 / $696.97 / $1,132.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.66 / $219.83 / $518.54
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.61 / $418.61 / $418.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.70 / $418.61 / $418.61