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New Hampshire rates for HCPCS L3913

Hand Finger Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $262.55 / $575.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.30 / $163.22 / $253.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.86 / $289.86 / $343.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.35 / $159.35 / $169.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $175.00 / $236.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.69 / $234.69 / $724.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.41 / $144.61 / $202.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.10 / $254.92 / $382.96