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Minnesota rates for HCPCS L3765

Elbow Wrist Hand Finger Orthosis Rigid Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.94 / $976.94 / $976.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.08 / $976.94 / $1,034.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.45 / $1,406.03 / $1,957.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.82 / $1,335.73 / $1,406.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.46 / $4,337.87 / $12,048.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.13 / $1,727.93 / $2,070.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.34 / $4,161.97 / $9,486.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.13 / $1,630.13 / $1,677.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.68 / $1,406.03 / $6,547.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $695.67 / $1,534.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $626.62 / $1,411.91