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New Hampshire 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
$275.42 / $275.42 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $426.58
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $691.83