go back

Texas 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
$261.70 / $266.83 / $271.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.62 / $271.95 / $383.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.80 / $468.80 / $468.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.89 / $278.89 / $348.93
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.50 / $498.10 / $586.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $586.00 / $586.00
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 / $237.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.91 / $2,714.31 / $2,714.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,934.66 / $2,934.66 / $4,266.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.74 / $381.38 / $586.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.38 / $539.12 / $586.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.70 / $615.29 / $1,025.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.74 / $381.38 / $586.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $498.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.48 / $326.02 / $407.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.38 / $325.80 / $586.00