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West Virginia 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
Facility
Modifier
Low / Median / High Price
$27.58 / $182.36 / $182.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.69 / $38.31 / $43.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.16 / $88.99 / $120.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $79.26 / $171.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.96 / $88.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $45.70 / $369.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.37 / $208.37 / $288.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $48.61 / $51.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.62 / $37.19 / $58.05