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Minnesota rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.59 / $82.61 / $84.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.56 / $120.89 / $168.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.71 / $114.85 / $120.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $373.47 / $1,037.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $148.66 / $178.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.73 / $358.33 / $816.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $140.25 / $144.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $120.89 / $496.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $50.26 / $121.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $125.07 / $150.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $50.26 / $121.40