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Mississippi 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
$260.63 / $260.63 / $415.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.92 / $297.29 / $415.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.40 / $360.40 / $360.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.40 / $360.40 / $360.40
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 / $214.12 / $408.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $580.80 / $696.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $214.52 / $346.35