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Minnesota rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.20 / $66.20 / $66.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.58 / $66.20 / $66.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.63 / $95.29 / $132.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $90.53 / $95.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $293.81 / $816.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $117.26 / $140.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.43 / $281.89 / $642.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $110.63 / $113.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $95.29 / $434.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $41.28 / $95.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $40.61 / $95.69