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New Hampshire 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
$71.98 / $71.98 / $86.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $57.60 / $77.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $179.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.86 / $127.86 / $151.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.04 / $58.04 / $61.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $59.92 / $71.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.51 / $103.51 / $319.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $49.94 / $63.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.80 / $96.07 / $147.36