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Alabama rates for HCPCS L3916

Wrist-hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.57 / $528.57 / $528.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.21 / $528.57 / $528.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.19 / $436.19 / $436.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $582.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $675.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.18 / $289.77 / $407.54