go back

North Dakota rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.64 / $201.64 / $201.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.37 / $153.37 / $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
$184.78 / $214.10 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $140.24 / $270.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $193.80 / $308.45