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Minnesota rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.85 / $130.85 / $130.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.19 / $128.37 / $130.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.32 / $188.31 / $262.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.65 / $178.89 / $188.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $581.41 / $1,614.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.25 / $231.35 / $277.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.18 / $557.84 / $1,271.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.25 / $218.25 / $224.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.53 / $188.31 / $928.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.68 / $90.02 / $215.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.68 / $88.03 / $189.81