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Oklahoma 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
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
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 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $331.13 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $467.74 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $407.38