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Minnesota rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.56 / $266.56 / $266.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.77 / $253.37 / $266.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.64 / $383.64 / $534.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.91 / $364.46 / $383.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $1,183.53 / $3,287.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.75 / $471.44 / $564.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.64 / $1,135.53 / $2,588.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.75 / $444.75 / $457.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.45 / $383.64 / $1,533.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $159.50 / $398.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.08 / $383.64 / $460.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $159.50 / $430.85