go back

Iowa 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
$154.88 / $158.86 / $158.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.73 / $120.74 / $200.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $271.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.81 / $267.26 / $331.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.52 / $247.64 / $267.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.19 / $271.76 / $1,045.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $123.25 / $332.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.97 / $271.76 / $325.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $305.39 / $519.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.20 / $251.99 / $440.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $123.25 / $297.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.70 / $234.70 / $234.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.41 / $234.70 / $234.70