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Maryland 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
Professional
Modifier
Low / Median / High Price
$232.84 / $248.57 / $444.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.47 / $378.47 / $388.90
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $568.90 / $819.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.77 / $289.42 / $452.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.81 / $314.38 / $398.23