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Minnesota rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.58 / $1,658.58 / $1,658.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.81 / $1,658.58 / $1,658.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.83 / $2,387.05 / $3,323.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.64 / $2,267.69 / $2,387.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $7,364.96 / $20,455.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,767.50 / $2,933.55 / $3,514.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,372.49 / $7,066.32 / $16,106.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,767.50 / $2,767.50 / $2,847.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.10 / $2,387.05 / $10,889.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.82 / $1,115.45 / $2,397.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.82 / $1,115.45 / $2,699.75