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Minnesota rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.49 / $558.49 / $558.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.05 / $558.49 / $619.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.55 / $803.78 / $1,119.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.02 / $763.59 / $803.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $2,479.82 / $6,887.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.88 / $987.79 / $1,183.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.24 / $2,379.26 / $5,423.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.88 / $931.88 / $958.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.45 / $803.78 / $3,392.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $356.77 / $807.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $853.88 / $1,024.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $334.17 / $1,044.91