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Minnesota rates for HCPCS L3919

Hand orthosis (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $206.33 / $206.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.11 / $175.27 / $218.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.94 / $316.97 / $417.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.57 / $282.11 / $296.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $916.61 / $2,545.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $364.91 / $437.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.17 / $879.44 / $2,004.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $344.25 / $354.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.01 / $296.95 / $1,382.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $146.94 / $324.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $147.80 / $308.95