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Kansas 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
$49.50 / $185.66 / $204.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.64 / $148.13 / $204.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.12 / $193.81 / $206.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.50 / $203.50 / $203.50
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 / $331.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $199.11 / $1,045.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $119.29 / $214.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $117.76 / $167.15