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North Carolina rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.06 / $1,508.06 / $2,601.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.29 / $1,508.06 / $1,508.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.82 / $1,656.98 / $3,146.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.03 / $1,291.69 / $1,377.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,065.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $1,020.00 / $1,399.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $1,500.30 / $1,960.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $968.00 / $1,171.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.88 / $1,774.38 / $2,832.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.04 / $830.26 / $1,213.16
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.01 / $8,295.73 / $8,295.73
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,383.06 / $8,383.06 / $10,698.60