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New Jersey 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
$153.24 / $420.22 / $900.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.24 / $202.16 / $276.81
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.00 / $396.00 / $396.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.41 / $293.31 / $450.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $351.30 / $432.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.23 / $414.13 / $589.67
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.16 / $439.59 / $450.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.69 / $580.80 / $696.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.33 / $224.57 / $450.14