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North Dakota rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, 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
$18.20 / $72.44 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $104.71 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $69.18 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $47.86 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $51.29 / $114.82