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Wyoming 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
Professional
Modifier
Low / Median / High Price
$252.46 / $252.46 / $394.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.26 / $440.26 / $440.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.26 / $440.26 / $440.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $293.31 / $484.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $432.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $217.32 / $241.27