go back

Minnesota rates for HCPCS L3962

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Erbs Palsey Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.60 / $549.60 / $549.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.45 / $549.60 / $579.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.72 / $844.27 / $1,112.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.78 / $751.43 / $790.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $2,440.50 / $6,778.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.88 / $971.89 / $1,164.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.90 / $2,341.54 / $5,337.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.88 / $916.88 / $943.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.39 / $790.98 / $4,154.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $394.61 / $949.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.08 / $394.61 / $850.92