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New Jersey 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
$35.59 / $35.59 / $35.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $52.87 / $65.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $66.37 / $104.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $91.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.52 / $96.19 / $136.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $69.54 / $69.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.94 / $52.16 / $99.55