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Minnesota rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.97 / $1,234.97 / $1,234.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.06 / $1,234.97 / $1,234.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.57 / $1,777.39 / $2,474.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.91 / $1,688.52 / $1,777.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $5,484.15 / $15,231.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.63 / $2,184.26 / $2,616.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,255.87 / $5,261.77 / $11,993.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.63 / $2,060.63 / $2,120.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.47 / $1,777.39 / $7,860.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.74 / $811.73 / $1,918.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.74 / $822.23 / $1,784.81