go back

Minnesota rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.39 / $246.39 / $246.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.69 / $221.67 / $260.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.63 / $378.50 / $498.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.69 / $336.88 / $354.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $1,094.55 / $3,040.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.00 / $435.66 / $521.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.82 / $1,050.17 / $2,393.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.00 / $411.00 / $423.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.09 / $354.61 / $1,651.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $175.46 / $387.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $176.47 / $356.09