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New Hampshire 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
$193.58 / $193.58 / $616.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $150.21 / $208.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.78 / $343.78 / $407.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.64 / $191.64 / $200.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $212.98 / $296.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.33 / $278.33 / $859.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.11 / $171.50 / $203.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.48 / $302.32 / $454.19