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North Dakota rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.99 / $327.99 / $442.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.62 / $287.79 / $386.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.52 / $498.39 / $510.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.25 / $650.69 / $818.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.66 / $327.99 / $2,269.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.61 / $241.27 / $517.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.97 / $696.97 / $696.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $231.03 / $362.20