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Payers and negotiated rates for HCPCS L3909 | medprice.ai

HCPCS L3909

PR PREFAB WRIST ORTHOSIS

Payer pricing summary

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Low

$5

Average

$146

Median

$14

High

$1.7k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 4 Per diem 1 Percent of billed charges 9 Other 0

Filter by billing class

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#
1	Cigna professional · percent of total billed charges · bothfrom % of charges	9	$11	$11	$2	14%	—	$7 – $14
2	Aetna professional · percent of total billed charges · bothfrom % of charges	8	$13	$14	$1	5%	—	$13 – $15
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$53	$47	$11	23%	—	$23 – $57
4	UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +1 other terms	7	$4	$5	$3	54%	—	$4 – $12
5	First Health professional · percent of total billed charges · bothfrom % of charges	6	$13	$14	$1	10%	—	$13 – $17
6	Humana professional · percent of total billed charges · bothfrom % of charges	6	$13	$12	$3	28%	—	$8 – $15
7	MultiPlan professional · percent of total billed charges · bothfrom % of charges	5	$13	$12	$2	17%	—	$9 – $14
8	Anthem facility · fee schedule · outpatient · +1 other terms	3	$10	$14	$7	47%	—	$10 – $24
9	Wellmark facility · per diem · inpatient	3	$1.8k	$1.7k	$934	55%	—	$928 – $3.0k
10	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$11	$11	—	—	—	$11 – $11
11	Kaiser fee schedule · both	2	$18	$18	—	—	—	$18 – $18
12	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$13	$13	—	—	—	$13 – $13
13	Caresource facility · fee schedule · outpatient · +1 other terms	1	$173	$173	—	—	—	$173 – $173

← Hospitals reporting HCPCS L3909 · Snapshot 20261113T090226Z-3ce6c0b8