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Minnesota rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $229.09 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $851.14 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $302.00 / $338.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,621.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $229.09 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $89.13 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $275.42