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Minnesota rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.06 / $703.06 / $703.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.87 / $703.06 / $744.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.78 / $1,011.85 / $1,408.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.48 / $961.26 / $1,011.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $3,122.27 / $8,671.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.00 / $1,243.38 / $1,489.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.66 / $2,995.67 / $6,828.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.00 / $1,173.00 / $1,207.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.87 / $1,011.85 / $4,711.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.54 / $504.80 / $1,107.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.64 / $503.58 / $1,366.00