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Minnesota rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.27 / $80.27 / $80.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $80.27 / $92.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.57 / $123.31 / $162.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.42 / $109.75 / $115.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.37 / $356.92 / $991.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $141.91 / $170.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.90 / $342.45 / $780.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $133.88 / $138.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.68 / $115.53 / $557.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $55.23 / $138.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.77 / $55.23 / $116.01