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Minnesota rates for HCPCS L3807

Wrist Hand Finger Orthosis Without Joint(S) Pre-Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.16 / $190.51 / $190.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $147.11 / $261.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.31 / $292.64 / $385.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.35 / $260.48 / $274.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $846.26 / $2,350.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $337.08 / $403.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.42 / $811.95 / $1,850.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $327.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.89 / $274.19 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $136.44 / $285.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $221.74 / $509.05