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Washington, DC 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
$232.84 / $232.84 / $232.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.84 / $232.84 / $232.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.47 / $378.47 / $388.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $237.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.79 / $369.79 / $1,129.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.21 / $283.82 / $596.99