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Arkansas rates for HCPCS L3931

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $125.86 / $125.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.61 / $125.86 / $125.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $258.73 / $287.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.02 / $201.02 / $224.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.02 / $201.02 / $201.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $181.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $91.70 / $170.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $105.29 / $136.15