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Minnesota rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.55 / $65.55 / $65.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $63.12 / $65.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.81 / $94.34 / $131.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.47 / $89.62 / $94.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $290.70 / $807.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $116.07 / $139.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.59 / $278.92 / $635.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $109.50 / $112.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.77 / $94.34 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $39.22 / $94.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $47.67 / $148.94