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Minnesota rates for HCPCS L0220

Thoracic, Rib Belt, Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.15 / $108.15 / $108.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.35 / $96.58 / $108.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.15 / $166.14 / $218.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.52 / $147.87 / $155.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $480.03 / $1,333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.38 / $191.20 / $229.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.99 / $460.57 / $1,049.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.38 / $180.38 / $185.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.77 / $155.65 / $706.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $74.42 / $169.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $74.42 / $176.82