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Minnesota rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $295.12 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $295.12 / $323.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,548.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $218.78 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $162.18 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $346.74