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Pennsylvania 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
$30.52 / $177.51 / $363.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $45.00 / $197.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.22 / $55.62 / $88.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $74.16 / $74.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $88.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $93.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $88.06 / $167.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $148.88 / $301.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.08 / $53.69 / $63.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $140.40 / $363.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $43.18 / $150.40
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.76 / $194.01 / $244.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.80 / $103.82 / $142.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $88.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $93.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.28 / $51.28 / $70.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.28 / $70.58 / $76.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.62 / $37.00 / $61.66