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North Dakota 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
$1,037.83 / $1,037.83 / $1,037.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.83 / $1,234.23 / $1,234.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.76 / $1,576.98 / $1,616.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.13 / $2,079.71 / $2,615.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.21 / $1,234.23 / $7,437.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.29 / $738.49 / $1,186.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $790.08 / $1,693.02