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Minnesota rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $61.66 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $120.23 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $446.68 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $177.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $120.23 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $51.29 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $51.29 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $147.91