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Arizona 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
Professional
Modifier
Low / Median / High Price
$102.64 / $119.22 / $196.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.37 / $243.37 / $440.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.41 / $224.55 / $305.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $125.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $91.70 / $210.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $117.51 / $1,045.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $100.29 / $151.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.64 / $100.29 / $151.07