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Kentucky 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
$114.82 / $114.82 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $229.09 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $302.00 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $213.80 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $107.15 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $154.88