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New Hampshire rates for HCPCS L3929

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, 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
$48.53 / $48.53 / $58.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $45.96 / $52.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.18 / $86.18 / $102.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.41 / $52.41 / $54.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $53.85 / $83.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.78 / $69.78 / $215.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $43.00 / $52.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.30 / $67.56 / $99.31