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Minnesota rates for HCPCS L0641

Lumbar Orthosis Sagittal Control With Rigid Posterior Panel(S) Posterior Extends From L-1 To Below L-5 Vertebra Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs Includes Straps Closures May Include Padding Stays Shoulder Straps Pendulous Abdomen Design Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.03 / $47.03 / $47.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $47.03 / $69.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.47 / $70.76 / $109.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $74.15 / $76.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $176.91 / $491.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $71.15 / $85.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.03 / $169.73 / $386.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.13 / $68.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $57.80 / $256.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $46.82 / $94.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $41.86 / $94.31