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Minnesota rates for HCPCS L1980

Ankle Foot Orthosis Single Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Single Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.02 / $338.02 / $338.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.84 / $338.02 / $338.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.74 / $486.48 / $677.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.18 / $462.16 / $486.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $1,501.13 / $4,169.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.00 / $597.84 / $716.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.20 / $1,426.33 / $3,282.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.00 / $564.00 / $580.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.16 / $486.48 / $2,218.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $229.01 / $504.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $230.34 / $544.86