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New Hampshire rates for HCPCS L3924

Hand Finger Orthosis Without Joints May Include Soft Interface Straps Prefabricated Off-The- Shelf (Code Was Deleted 01/01/08 But Reinstated On 01/01/14) Wrist Hand Finger Orthosis Oppenheimer Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.06 / $75.06 / $90.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $60.04 / $75.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $127.86
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
$56.30 / $56.30 / $60.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $44.68 / $61.21
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
$42.52 / $63.79 / $80.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.47 / $86.96 / $108.71