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Minnesota rates for HCPCS L1220

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.36 / $199.36 / $199.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.60 / $199.36 / $199.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.79 / $286.92 / $399.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.54 / $272.57 / $286.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $885.57 / $2,459.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.63 / $352.58 / $422.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.76 / $849.67 / $1,936.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.63 / $332.63 / $342.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.79 / $286.92 / $1,347.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $137.16 / $288.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $139.05 / $373.00