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Wyoming 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
$330.00 / $330.00 / $516.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.48 / $575.48 / $575.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.48 / $575.48 / $575.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $638.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $516.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.52 / $259.77 / $434.71