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Maine 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
$271.95 / $345.31 / $345.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.98 / $655.54 / $1,215.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.80 / $330.11 / $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 / $325.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.61 / $460.61 / $460.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.95 / $345.31 / $345.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.77 / $283.82 / $787.73