go back

New Jersey 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
$361.33 / $361.33 / $361.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.33 / $461.89 / $584.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.01 / $607.01 / $1,061.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $607.01 / $929.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.65 / $976.48 / $1,390.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.51 / $1,061.39 / $1,061.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.05 / $545.84 / $974.39