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Minnesota rates for HCPCS L1220

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

Facilitymedian $331 · 10th–90th $200–$2,0890%20%10th90th$331Professionalmedian $288 · 10th–90th $145–$3310%20%40%10th90th$288$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
$199.53 / $199.53 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $288.40 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,071.52 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $380.19 / $426.58
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $2,089.30
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $288.40 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $123.03 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $147.91 / $407.38