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Minnesota rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.68 / $407.68 / $407.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.54 / $361.06 / $407.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.62 / $586.74 / $817.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.39 / $557.40 / $586.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $1,810.46 / $5,028.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.25 / $721.07 / $863.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.84 / $1,737.05 / $3,959.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.25 / $680.25 / $700.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.82 / $586.74 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.14 / $308.58 / $704.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $316.04 / $1,030.60