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Minnesota rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $41.69 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $154.88 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $275.42 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $363.08 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,949.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $275.42 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $120.23 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $338.84