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Colorado 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
$119.22 / $119.22 / $119.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.61 / $119.22 / $170.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.89 / $239.20 / $434.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.25 / $122.25 / $132.03
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 / $153.22 / $210.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $115.10 / $305.32
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $64.75 / $64.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $266.11 / $421.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $100.29 / $151.07