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Minnesota rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.82 / $45.82 / $45.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $43.55 / $45.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.49 / $65.94 / $91.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $62.64 / $65.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $203.81 / $566.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $81.09 / $97.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.00 / $195.54 / $445.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $76.50 / $78.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.41 / $65.91 / $263.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $27.42 / $66.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $27.42 / $84.74