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North Dakota rates for HCPCS L3904

Wrist-hand-finger orthosis (WHFO), external powered, electric, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.74 / $3,131.74 / $3,131.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.69 / $2,571.69 / $3,131.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,024.72 / $4,758.64 / $4,877.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,290.75 / $4,333.66 / $5,449.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.25 / $3,131.74 / $17,217.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.13 / $1,788.09 / $3,429.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.74 / $1,714.87 / $3,429.73