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Vermont 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
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $52.48 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $61.66 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $45.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $40.74 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $52.48 / $181.97