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North Dakota rates for HCPCS L3766

Elbow-wrist-hand-finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.10 / $1,095.10 / $1,095.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.52 / $1,034.52 / $1,095.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.37 / $1,664.01 / $1,705.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.13 / $1,743.39 / $2,192.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.23 / $1,095.10 / $6,933.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.66 / $736.67 / $1,199.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $663.55 / $1,199.31