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Kansas 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
$480.32 / $480.32 / $480.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.15 / $314.69 / $480.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.58 / $77.45 / $82.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.20 / $85.20 / $85.20
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 / $844.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.69 / $452.71 / $2,714.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.18 / $289.37 / $771.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.92 / $289.37 / $453.98