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Illinois 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
$44.29 / $64.00 / $92.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $42.09 / $110.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.27 / $60.29 / $80.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.20 / $161.40 / $691.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $61.10 / $61.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $73.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $103.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $84.96 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $26.12 / $27.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.46 / $38.44 / $68.86