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Pennsylvania 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
$295.12 / $870.96 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $338.84 / $776.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $870.96
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $323.59 / $478.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,621.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $489.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $870.96 / $2,454.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $741.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $707.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $302.00 / $446.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $323.59 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $588.84 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $426.58