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Kansas 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
$45.71 / $257.04 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $380.19 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $323.59 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $354.81 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $309.03