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Minnesota rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.88 / $1,618.88 / $1,618.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.58 / $1,618.88 / $1,713.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.88 / $2,329.91 / $3,244.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.93 / $2,213.41 / $2,329.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $7,189.09 / $19,967.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.13 / $2,863.19 / $3,430.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.08 / $6,897.58 / $15,722.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.13 / $2,701.13 / $2,779.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.46 / $2,329.91 / $10,889.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,152.79 / $2,550.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.24 / $1,159.51 / $2,446.41