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Missouri 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
$95.50 / $173.78 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $354.81 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $331.13