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Colorado 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
$330.00 / $330.00 / $330.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.57 / $330.00 / $441.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.29 / $662.13 / $1,202.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.80 / $325.80 / $428.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $325.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $675.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.29 / $381.38 / $783.04
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.38 / $381.38 / $381.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.18 / $677.68 / $1,166.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.52 / $259.77 / $407.54