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Vermont 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
Professional
Modifier
Low / Median / High Price
$111.03 / $111.03 / $128.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.08 / $184.08 / $184.08
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 / $179.11 / $193.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $125.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $182.03 / $193.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $138.41 / $189.18