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New Hampshire 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
$128.11 / $153.72 / $497.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.73 / $99.41 / $138.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.52 / $227.52 / $269.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.25 / $122.25 / $128.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $125.61 / $125.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $125.61 / $188.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.21 / $184.21 / $568.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $113.51 / $131.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.65 / $163.52 / $208.11