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Minnesota rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.09 / $177.09 / $177.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.87 / $177.09 / $268.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.02 / $272.16 / $383.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.26 / $279.37 / $294.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $677.63 / $1,882.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.13 / $271.49 / $325.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.30 / $650.15 / $1,481.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.13 / $256.13 / $262.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.57 / $220.99 / $1,096.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $171.25 / $348.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $184.24 / $400.11