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Oklahoma 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
$107.08 / $107.08 / $107.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.11 / $105.09 / $119.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.29 / $198.29 / $198.29
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 / $177.43 / $193.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $136.01 / $1,045.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $107.94 / $223.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $100.29 / $143.88