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Minnesota rates for HCPCS L1730

Legg Perthes orthosis, (Scottish Rite type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,513.56 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,623.41 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $2,187.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,623.41 / $10,471.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,513.56 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $630.96 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,862.09