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Minnesota rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $257.04 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $954.99 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $371.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,778.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $257.04 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $102.33 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $93.33 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $316.23