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Minnesota rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $398.11 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,089.30 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $812.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $3,890.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $549.54 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $213.80 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $676.08