go back

West Virginia rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $51.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.81 / $380.19 / $380.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.14 / $304.14 / $304.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $143.41 / $152.82