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Minnesota rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.49 / $1,302.49 / $1,302.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.82 / $1,302.49 / $1,302.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.81 / $1,874.55 / $2,610.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.64 / $1,780.82 / $1,874.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $5,784.17 / $16,065.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.13 / $2,303.51 / $2,759.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,433.99 / $5,549.63 / $12,649.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.13 / $2,173.13 / $2,236.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.72 / $1,874.55 / $9,141.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $870.49 / $2,071.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $935.20 / $2,530.64