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Minnesota rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $302.00 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $446.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $2,137.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $302.00 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $131.83 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $371.54