go back

Minnesota rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $181.97 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $676.08 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $239.88 / $263.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $181.97 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $89.13 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $218.78