go back

Minnesota rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Facilitymedian $100 · 10th–90th $62$6610%20%10th90th$100Professionalmedian $89 · 10th–90th $48$1320%20%40%10th90th$89$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$131.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$660.69
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$89.13
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$44.67
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$158.49