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Minnesota rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.42 / $298.42 / $298.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.28 / $298.42 / $315.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.92 / $429.50 / $598.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.60 / $408.03 / $429.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $1,325.26 / $3,680.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.00 / $527.88 / $632.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.79 / $1,271.52 / $2,898.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.00 / $498.00 / $512.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.28 / $429.50 / $2,000.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.61 / $212.51 / $470.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.61 / $213.74 / $553.20