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Minnesota rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $74.23 / $74.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $57.60 / $74.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.51 / $106.82 / $148.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $101.48 / $106.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $330.02 / $916.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $131.18 / $157.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.93 / $316.64 / $721.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $123.75 / $127.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $106.82 / $471.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $45.01 / $107.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $117.18 / $140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $44.41 / $107.27