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Washington 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
$11.56 / $31.84 / $102.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.67 / $59.43 / $205.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $66.05 / $149.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.11 / $189.20 / $358.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.91 / $74.84 / $506.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $45.70 / $45.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $79.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $83.66 / $189.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.45 / $83.66 / $140.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $82.99 / $93.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.50 / $79.25 / $88.06
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $88.06 / $88.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.11 / $98.90 / $172.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $73.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.82 / $86.00 / $86.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $74.84 / $96.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.47 / $33.01 / $62.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $18.73 / $74.84