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Connecticut 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
$276.50 / $276.50 / $276.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.57 / $271.95 / $278.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.90 / $568.90 / $650.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.80 / $325.80 / $330.11
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 / $237.52
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.79 / $369.79 / $369.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.79 / $369.79 / $523.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.77 / $336.77 / $336.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.60 / $283.82 / $530.66