go back

Minnesota rates for HCPCS L3930

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.59 / $69.59 / $69.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $62.70 / $69.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.80 / $100.16 / $139.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.13 / $95.15 / $100.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $309.33 / $859.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $123.23 / $147.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.65 / $296.79 / $676.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $116.25 / $119.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.12 / $100.16 / $456.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $45.80 / $120.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $45.80 / $110.18