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Minnesota rates for HCPCS L3984

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

Facilitymedian $417 · 10th–90th $263–$2,7540%20%10th90th$417Professionalmedian $380 · 10th–90th $191–$4370%20%40%10th90th$380$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $263.03 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $380.19 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,412.54 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $562.34
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,412.54 / $2,754.23
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $602.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $380.19 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $190.55 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $186.21 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $691.83