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North Dakota rates for HCPCS L3806

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.35 / $366.35 / $366.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.24 / $346.07 / $366.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.82 / $556.67 / $570.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.50 / $583.28 / $733.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.39 / $398.46 / $2,319.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.61 / $246.45 / $407.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.01 / $220.01 / $220.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $246.45 / $528.11