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New Jersey 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
$94.89 / $94.89 / $94.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.89 / $121.86 / $171.37
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $240.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $142.00 / $267.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $103.66 / $256.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.49 / $246.21 / $350.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.35 / $267.62 / $267.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.11 / $133.51 / $245.69