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Minnesota rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.18 / $86.18 / $86.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $66.64 / $97.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.25 / $124.04 / $172.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.23 / $117.84 / $124.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $379.08 / $887.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $152.24 / $182.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.25 / $367.26 / $837.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $143.63 / $148.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $124.04 / $587.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $61.45 / $140.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $61.45 / $129.21