go back

Minnesota rates for HCPCS L1025

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.15 / $130.15 / $130.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.68 / $123.72 / $130.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.46 / $187.31 / $260.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $177.94 / $187.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $578.30 / $1,606.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $230.15 / $275.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.34 / $554.86 / $1,264.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $217.13 / $223.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $187.19 / $757.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $77.88 / $188.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $93.45 / $291.97