go back

Maine 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
$12.80 / $63.15 / $258.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $43.63 / $53.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.31 / $101.47 / $188.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.10 / $42.15 / $42.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $64.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $61.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.30 / $71.30 / $71.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $63.15 / $258.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.28 / $49.59 / $64.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $43.93 / $101.04