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New Jersey 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
$201.70 / $201.70 / $201.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $247.57 / $326.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $325.37 / $568.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.52 / $237.52 / $675.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.73 / $523.39 / $745.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.57 / $568.90 / $568.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.77 / $283.82 / $473.03