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North Dakota rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.04 / $259.04 / $259.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.61 / $244.74 / $259.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.89 / $393.60 / $403.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.38 / $412.46 / $518.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.38 / $259.04 / $1,640.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.85 / $174.27 / $283.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.90 / $156.97 / $373.43