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Minnesota rates for HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.75 / $294.75 / $294.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.47 / $225.17 / $386.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.62 / $452.77 / $596.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.37 / $403.00 / $424.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $1,308.71 / $3,634.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $521.12 / $624.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.96 / $1,243.50 / $2,862.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $491.63 / $506.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.06 / $424.21 / $1,920.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $189.86 / $446.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $188.76 / $425.98