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North Carolina rates for HCPCS L3908

Wrist Hand Orthosis Wrist Extension Control Cock-Up Non-Molded Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.27 / $65.28 / $98.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $57.83 / $140.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $49.54 / $67.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.17 / $97.97 / $120.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.58 / $49.54 / $52.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.85 / $45.70 / $45.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $40.85 / $93.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $57.83 / $75.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $42.45
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.79 / $318.79 / $318.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $84.21 / $126.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.32 / $32.95 / $49.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.09 / $418.29 / $418.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.99 / $518.99 / $660.45