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Vermont 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
$289.42 / $289.42 / $333.95
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
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $325.37
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $237.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.77 / $445.26 / $684.95