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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
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $346.74 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $138.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $354.81 / $660.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $93.33 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $37.15 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $35.48 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $39.81 / $114.82