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Minnesota rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.83 / $643.83 / $643.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.30 / $643.83 / $660.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.76 / $926.61 / $1,290.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.29 / $880.28 / $926.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $2,859.50 / $7,942.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.38 / $1,138.83 / $1,364.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.65 / $2,743.55 / $6,253.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.38 / $1,074.38 / $1,105.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.38 / $926.61 / $4,501.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $464.77 / $961.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.79 / $697.73 / $1,627.59