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Minnesota rates for HCPCS L1260

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

Facilitymedian $126 · 10th–90th $79–$8320%20%10th90th$126Professionalmedian $115 · 10th–90th $52–$1320%20%40%10th90th$115$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$77.62 / $77.62 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $57.54 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $114.82 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $426.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $151.36 / $165.96
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $831.76
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $177.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $114.82 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $41.69 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $154.88