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Minnesota rates for HCPCS L3916

Wrist-hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.08 / $405.00 / $428.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.37 / $622.16 / $819.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.30 / $553.74 / $582.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.37 / $1,798.05 / $4,993.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $716.30 / $858.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.48 / $1,725.14 / $3,932.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $675.75 / $695.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.57 / $582.88 / $2,714.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.18 / $288.39 / $636.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.40 / $305.87 / $1,023.83