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Mississippi 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
$331.13 / $331.13 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $467.74 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $436.52