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Minnesota rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.49 / $73.59 / $73.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.87 / $62.47 / $87.07
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
$61.21 / $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
$70.23 / $105.92 / $474.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $53.42 / $114.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.68 / $127.86 / $153.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $52.84 / $106.36