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Minnesota rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.14 / $94.14 / $94.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.08 / $81.37 / $131.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.06 / $135.49 / $188.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.39 / $128.72 / $135.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.88 / $413.91 / $968.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $166.55 / $199.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.14 / $401.01 / $914.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $157.13 / $161.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $135.49 / $722.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $71.97 / $149.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $67.59 / $145.75