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Montana 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
Professional
Modifier
Low / Median / High Price
$39.67 / $50.00 / $248.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $64.50 / $64.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $69.34 / $69.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $69.34 / $69.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.82 / $66.05 / $69.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.05 / $53.20 / $77.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $32.95 / $37.72