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New Hampshire rates for HCPCS L3900

Wrist Hand Finger Orthosis 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
$807.59 / $807.59 / $969.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.66 / $642.24 / $807.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.25 / $1,434.25 / $1,700.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.43 / $859.43 / $910.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,251.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.24 / $1,161.24 / $3,584.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.02 / $715.53 / $1,026.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.20 / $1,181.61 / $1,503.88