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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
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,023.29 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $1,479.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,801.89 / $7,079.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,023.29 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $446.68 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $1,258.93