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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
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $85.11 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $123.03 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $457.09 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $162.18 / $181.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $457.09 / $870.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $123.03 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $54.95 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $54.95 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $60.26 / $151.36