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Minnesota rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.59 / $1,697.59 / $1,697.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.20 / $1,697.59 / $1,939.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,092.91 / $2,443.17 / $3,402.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.54 / $2,321.02 / $2,443.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $7,538.77 / $20,938.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.38 / $3,002.32 / $3,597.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,475.68 / $7,233.08 / $16,486.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.38 / $2,832.38 / $2,914.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.76 / $2,443.17 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,218.88 / $2,663.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,218.88 / $2,687.50