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Minnesota rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.91 / $343.91 / $343.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.84 / $343.91 / $360.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $494.96 / $689.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.97 / $470.21 / $494.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $1,527.00 / $4,241.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.75 / $608.17 / $728.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.56 / $1,465.08 / $3,339.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.75 / $573.75 / $590.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.66 / $494.96 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $219.41 / $497.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.74 / $367.07 / $843.26