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Mississippi 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
$125.89 / $125.89 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $177.83 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $107.15 / $158.49