go back

North Dakota rates for HCPCS L3931

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $154.88 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $154.88 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $331.13 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $245.47