go back

Ohio 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
$313.07 / $313.07 / $2,976.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.98 / $313.07 / $358.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.32 / $641.16 / $1,661.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $325.80 / $772.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.16 / $582.88 / $786.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.94 / $527.45 / $1,248.06
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 / $237.52 / $484.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $325.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $325.37 / $325.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $110.00 / $144.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.86 / $288.20 / $407.54