go back

Virginia 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
$215.69 / $233.00 / $610.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.87 / $233.00 / $317.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.24 / $471.24 / $500.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.51 / $270.51 / $337.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $253.00 / $253.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.90 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $391.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.87 / $424.12 / $565.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.30 / $289.83 / $529.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.00 / $565.00 / $784.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.19 / $355.65 / $589.04
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.19 / $355.65 / $589.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.80 / $580.80 / $696.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.33 / $235.10 / $353.24