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Minnesota rates for HCPCS L3901

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Facilitymedian $2,570 · 10th–90th $1,622–$16,9820%20%10th90th$2,570Professionalmedian $2,344 · 10th–90th $1,047–$2,6920%20%40%10th90th$2,344$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,344.23 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,709.64 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,090.30 / $3,388.44
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $8,709.64 / $16,982.44
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,344.23 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $977.24 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $870.96 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,122.02 / $3,235.94