go back

Minnesota rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.86 / $176.86 / $176.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $168.12 / $176.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.04 / $254.53 / $354.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.62 / $241.80 / $254.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $785.22 / $2,180.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.13 / $312.83 / $374.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.18 / $753.38 / $1,717.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.13 / $295.13 / $303.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.32 / $254.53 / $980.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $105.82 / $255.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $106.51 / $327.06