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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
$1,698.24 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,454.71 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $9,120.11 / $21,877.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,235.94 / $3,630.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,120.11 / $17,378.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,890.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,454.71 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $1,122.02 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $3,019.95