go back

Minnesota rates for HCPCS L3931

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.86 / $158.86 / $158.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.09 / $154.88 / $158.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.05 / $244.02 / $321.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.90 / $217.20 / $228.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.61 / $705.56 / $1,959.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.13 / $281.02 / $336.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.88 / $676.95 / $1,543.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.13 / $265.13 / $272.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.69 / $228.63 / $1,045.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $106.21 / $270.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $109.30 / $234.11