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Minnesota rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $48.98 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $58.88 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $87.10 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $251.19 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $100.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $251.19 / $478.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $67.61 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $52.48 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $48.98 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $51.29 / $102.33