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North Dakota rates for HCPCS L3917

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.18 / $85.18 / $122.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $80.45 / $85.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.46 / $129.41 / $132.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.25 / $135.59 / $170.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.03 / $85.18 / $539.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $57.31 / $93.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $85.96 / $115.79