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Minnesota rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.74 / $244.74 / $244.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.58 / $244.74 / $277.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.58 / $375.95 / $495.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.79 / $334.63 / $352.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $1,087.31 / $3,019.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.38 / $432.88 / $518.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.52 / $1,043.22 / $2,377.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.38 / $408.38 / $420.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.38 / $352.24 / $1,640.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $174.27 / $384.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $175.28 / $353.70