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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
$1,042.58 / $1,042.58 / $1,042.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.21 / $1,042.58 / $1,042.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.39 / $1,500.51 / $2,089.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.41 / $1,425.48 / $1,500.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.34 / $4,629.60 / $12,858.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.63 / $1,844.00 / $2,209.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.55 / $4,441.89 / $10,124.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.63 / $1,739.63 / $1,790.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.99 / $1,500.51 / $6,718.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.08 / $657.33 / $1,541.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.08 / $710.33 / $1,704.58