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North Dakota 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
$23.90 / $201.64 / $201.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.11 / $147.11 / $201.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $306.39 / $314.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $321.18 / $403.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.93 / $201.64 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $135.66 / $220.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $203.49 / $340.00