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Minnesota rates for HCPCS L1290

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

Facilitymedian $102 · 10th–90th $66–$6760%20%10th90th$102Professionalmedian $93 · 10th–90th $48–$1070%50%10th90th$93$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
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $93.33 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $123.03 / $138.04
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $676.08
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $93.33 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $43.65 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $51.29 / $131.83