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Minnesota rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.08 / $471.08 / $694.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.98 / $471.08 / $498.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.79 / $677.99 / $944.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.39 / $644.09 / $677.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $2,091.86 / $5,809.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.00 / $833.16 / $998.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.91 / $2,007.04 / $4,574.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.00 / $786.00 / $808.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.91 / $677.99 / $3,157.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.79 / $346.93 / $680.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $307.02 / $680.82