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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
$29.58 / $53.48 / $55.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $59.18 / $82.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.78 / $81.17 / $112.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.17 / $83.32 / $87.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $205.93 / $482.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $83.48 / $100.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.45 / $199.51 / $454.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $78.75 / $80.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $67.86 / $340.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $56.67 / $106.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $49.17 / $107.08