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Minnesota rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Facilitymedian $347 · 10th–90th $219$2,1380%20%10th90th$347Professionalmedian $295 · 10th–90th $151$3390%50%10th90th$295$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $177.83 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $295.12 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,096.48 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $389.05 / $436.52
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,096.48 / $2,137.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $467.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $295.12 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $144.54 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $416.87