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New Hampshire rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.87 / $58.87 / $70.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $52.87 / $63.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.55 / $104.55 / $123.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $61.22 / $66.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $66.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $70.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.64 / $84.64 / $261.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $52.16 / $61.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.31 / $75.14 / $95.63