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Connecticut 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
$110.58 / $110.58 / $110.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.61 / $105.09 / $120.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.33 / $227.52 / $260.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.25 / $122.25 / $128.28
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 / $189.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.88 / $147.88 / $147.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.83 / $147.88 / $193.67
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $126.44 / $126.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.62 / $113.51 / $189.18