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North Dakota rates for HCPCS L3916

Wrist-hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.74 / $428.74 / $428.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $405.00 / $428.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.99 / $651.46 / $667.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $682.51 / $858.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.06 / $428.74 / $2,714.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.77 / $293.99 / $469.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.40 / $412.00 / $618.00