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Missouri 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
$5.00 / $18.72 / $60.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $40.86 / $135.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $50.33 / $80.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.11 / $70.47 / $309.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $40.10 / $54.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $61.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $54.32 / $358.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $33.49 / $81.58
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.77 / $60.77 / $60.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $33.49 / $50.78