go back

Minnesota rates for HCPCS L1930

Ankle Foot Orthosis Plastic Or Other Material Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.90 / $210.90 / $210.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.37 / $160.06 / $211.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.02 / $303.52 / $422.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.82 / $288.35 / $303.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $927.21 / $2,170.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.75 / $372.86 / $446.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.85 / $898.30 / $2,047.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.75 / $351.75 / $362.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.42 / $303.52 / $1,417.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $148.47 / $310.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $145.12 / $304.81