go back

Rhode Island 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
$248.57 / $326.02 / $351.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.34 / $1,086.38 / $1,286.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.93 / $311.68 / $507.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.53 / $325.37 / $325.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $237.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.23 / $303.07 / $473.03