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Minnesota rates for HCPCS L3908

Wrist-hand orthosis (WHO), wrist extension control cock-up, nonmolded, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $55.86 / $55.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $49.98 / $118.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.28 / $85.82 / $113.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $76.37 / $80.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $248.29 / $689.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.38 / $98.98 / $118.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.41 / $238.22 / $543.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.38 / $93.38 / $96.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.92 / $80.39 / $358.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.32 / $47.03 / $82.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $36.79 / $85.21