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Minnesota rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,890.45 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $14,454.40 / $34,673.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,128.61 / $5,623.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $14,454.40 / $26,915.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,890.45 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,737.80 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $1,698.24 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $4,786.30