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Minnesota rates for HCPCS L3766

Elbow-wrist-hand-finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.52 / $1,034.52 / $1,034.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.33 / $1,034.52 / $1,095.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.44 / $1,488.90 / $2,073.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.11 / $1,414.46 / $1,488.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.10 / $4,594.43 / $12,760.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.13 / $1,829.69 / $2,192.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,727.66 / $4,408.14 / $10,047.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.13 / $1,726.13 / $1,776.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.23 / $1,488.90 / $6,933.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $736.67 / $1,624.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.36 / $674.24 / $1,495.12