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Minnesota rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.28 / $787.28 / $787.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.57 / $787.28 / $787.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.61 / $1,133.06 / $1,577.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.45 / $1,076.41 / $1,133.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $3,495.74 / $9,709.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.63 / $1,392.44 / $1,668.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.38 / $3,354.00 / $7,644.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.63 / $1,313.63 / $1,351.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.64 / $1,133.06 / $5,476.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $541.67 / $1,206.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,381.17 / $1,657.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $516.79 / $1,206.35