go back

Minnesota rates for HCPCS L3923

Hand Finger Orthosis Without Joints May Include Soft Interface Straps Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.59 / $73.59 / $88.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $59.92 / $132.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.74 / $105.92 / $147.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.74 / $100.62 / $105.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.92 / $326.92 / $907.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $129.97 / $155.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.09 / $313.66 / $714.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $122.63 / $126.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.82 / $105.92 / $474.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $47.84 / $107.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $53.12 / $111.67