go back

New Jersey 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
$485.62 / $485.62 / $485.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.62 / $668.76 / $954.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $891.35 / $1,426.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $891.35 / $1,291.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.20 / $1,312.36 / $1,868.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.05 / $1,426.48 / $1,426.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.21 / $711.65 / $1,309.58