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New Hampshire rates for HCPCS L3807

Wrist Hand Finger Orthosis Without Joint(S) Pre-Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.69 / $180.83 / $726.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $116.93 / $169.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $94.00 / $94.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $267.62 / $317.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.53 / $148.53 / $156.31
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 / $135.00 / $218.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $216.67 / $668.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.89 / $143.05 / $216.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.85 / $209.82 / $308.44