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Idaho 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
$14.97 / $91.76 / $91.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $59.43 / $144.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $55.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $69.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $62.04 / $88.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.25 / $83.66 / $88.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $64.98 / $77.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.11 / $86.00 / $129.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.64 / $61.64 / $92.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.47 / $32.95 / $68.25