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Arkansas rates for HCPCS L3908

Wrist Hand Orthosis Wrist Extension Control Cock-Up Non-Molded Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $36.71 / $111.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $40.86 / $118.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $52.84 / $52.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.02 / $75.47 / $83.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.05 / $74.16 / $80.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.16 / $74.16 / $100.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $52.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $49.64
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $60.77 / $60.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $32.65 / $44.14