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Minnesota rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.06 / $190.51 / $190.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.52 / $159.56 / $281.17
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
$142.00 / $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
$179.40 / $274.19 / $1,281.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $136.44 / $275.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.19 / $143.87 / $421.70