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Minnesota rates for HCPCS L1270

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.39 / $69.39 / $69.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $69.39 / $69.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.55 / $99.86 / $139.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $94.87 / $99.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $308.30 / $856.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.88 / $122.83 / $147.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.03 / $295.79 / $674.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.88 / $115.88 / $119.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.95 / $99.86 / $463.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $43.55 / $101.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $48.35 / $129.82