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Maine 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
$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