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North Carolina 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
$281.88 / $377.03 / $754.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.86 / $407.24 / $488.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.87 / $447.45 / $849.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.93 / $348.81 / $372.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.69 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $372.62 / $644.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $407.24 / $529.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.00 / $262.00 / $316.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.18 / $581.35 / $830.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.07 / $229.96 / $332.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.94 / $2,758.85 / $2,758.85
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.89 / $2,787.89 / $3,376.05