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Indiana 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
$18.53 / $72.58 / $100.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $41.32 / $118.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $60.29 / $78.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.51 / $71.95 / $80.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $40.10 / $55.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $88.43 / $112.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.33 / $92.45 / $112.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $80.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $82.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $37.76 / $52.26