go back

Minnesota rates for HCPCS L3900

Wrist Hand Finger Orthosis Dynamic Flexor Hinge Reciprocal Wrist Extension/ Flexion Finger Flexion/Extension Wrist Or Finger Driven Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.23 / $1,234.23 / $1,234.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.09 / $1,234.23 / $1,234.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.95 / $1,895.99 / $2,497.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.06 / $1,687.50 / $1,776.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $5,481.05 / $15,223.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.13 / $2,182.67 / $2,615.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,254.03 / $5,258.79 / $11,986.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.13 / $2,059.13 / $2,119.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.21 / $1,776.32 / $7,437.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $738.49 / $1,962.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.44 / $796.19 / $2,964.60