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Minnesota rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.84 / $31.84 / $31.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $31.84 / $35.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.26 / $45.82 / $63.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $43.53 / $45.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $141.72 / $393.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $56.45 / $67.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.15 / $135.99 / $309.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $53.25 / $54.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $45.82 / $237.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $22.86 / $52.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $22.32 / $47.73