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Minnesota rates for HCPCS L3917

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Facilitymedian $129 · 10th–90th $100–$8510%20%10th90th$129Professionalmedian $115 · 10th–90th $58–$1350%50%10th90th$115$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$79.43 / $79.43 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $114.82 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $436.52 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $151.36 / $169.82
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $426.58 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $181.97
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $114.82 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $51.29 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $162.18