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Minnesota rates for HCPCS L3806

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.07 / $346.07 / $346.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.94 / $346.07 / $425.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.27 / $531.64 / $700.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.46 / $473.17 / $498.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $1,536.31 / $4,266.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.50 / $612.15 / $733.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.09 / $1,474.01 / $3,359.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.50 / $577.50 / $594.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.61 / $498.07 / $2,319.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $246.45 / $574.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $220.01 / $221.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $238.11 / $500.16