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Kentucky 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
$285.27 / $301.22 / $312.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.67 / $301.22 / $313.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.82 / $586.05 / $615.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $458.68 / $458.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.55 / $816.03 / $938.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.76 / $728.60 / $967.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $686.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $325.37 / $2,795.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.11 / $458.68 / $573.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.92 / $289.77 / $468.85