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Missouri 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
$4.47 / $28.84 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $295.12
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
$251.19 / $251.19 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $123.03 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $125.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $194.98 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $199.53 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $177.83