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Minnesota rates for HCPCS L3982

Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.29 / $299.29 / $299.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.33 / $247.18 / $899.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.98 / $430.74 / $599.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.59 / $409.20 / $430.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.44 / $1,329.40 / $3,692.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.50 / $529.47 / $634.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.25 / $1,275.49 / $2,907.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.50 / $499.50 / $514.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.53 / $430.74 / $2,238.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $226.03 / $442.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $210.23 / $479.29