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Oklahoma 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
$205.97 / $205.97 / $303.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.34 / $205.96 / $261.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.49 / $348.49 / $348.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.43 / $381.43 / $381.43
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 / $377.51 / $412.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $270.06 / $2,269.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $217.32 / $430.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $493.69 / $493.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $212.78 / $311.77