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North Carolina rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.18 / $219.18 / $416.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $241.40 / $307.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.68 / $248.11 / $248.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.02 / $265.22 / $503.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.08 / $206.76 / $220.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $135.10 / $244.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $240.14 / $313.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $154.00 / $187.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.22 / $297.73 / $462.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $136.31 / $215.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.75 / $1,281.52 / $1,281.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.26 / $1,380.26 / $2,007.15