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Vermont 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
$21.91 / $42.98 / $49.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $88.23 / $155.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.25 / $71.25 / $71.25
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 / $87.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $64.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $41.32 / $87.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $52.17 / $101.82