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Arizona rates for HCPCS L3908

Wrist-hand orthosis (WHO), wrist extension control cock-up, nonmolded, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.63 / $52.16 / $83.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.39 / $43.63 / $205.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $66.05 / $88.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $70.69 / $127.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $65.22 / $83.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $93.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $59.43 / $358.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $32.95 / $53.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $32.95 / $47.28