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Minnesota rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.83 / $1,442.83 / $1,442.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.08 / $1,243.29 / $1,657.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.83 / $2,076.54 / $2,891.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.23 / $1,972.71 / $2,076.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $6,406.97 / $17,794.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.50 / $2,551.94 / $3,057.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,803.74 / $6,147.17 / $14,011.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.50 / $2,407.50 / $2,477.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.29 / $2,076.54 / $10,083.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.90 / $1,035.97 / $2,491.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.90 / $1,035.97 / $2,085.23