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Minnesota rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $50 · 10th–90th $31–$3310%20%10th90th$50Professionalmedian $45 · 10th–90th $22–$520%20%40%10th90th$45$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $44.67 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $169.82 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $66.07
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $331.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $44.67 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $17.78 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.70 / $79.43