go back

New Hampshire rates for HCPCS L3935

Finger orthosis (FO), nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.13 / $133.13 / $159.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.30 / $103.30 / $143.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.42 / $236.42 / $280.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $131.80 / $138.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.22 / $135.22 / $135.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $135.22 / $192.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.42 / $191.42 / $590.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.63 / $117.95 / $140.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.08 / $207.91 / $312.37