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North Dakota rates for HCPCS L3905

Wrist-hand orthosis (WHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.84 / $799.84 / $799.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.45 / $755.56 / $799.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.91 / $1,215.35 / $1,245.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.75 / $1,273.35 / $1,601.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.27 / $799.84 / $5,063.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.97 / $538.04 / $875.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $484.64 / $875.94