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Minnesota rates for HCPCS L2010

Knee Ankle Foot Orthosis Single Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Without Knee Joint Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.47 / $730.47 / $730.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.29 / $730.47 / $886.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.59 / $1,051.31 / $1,463.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.05 / $998.74 / $1,051.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.83 / $3,243.31 / $9,008.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.75 / $1,291.88 / $1,547.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.52 / $3,111.80 / $7,092.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.75 / $1,218.75 / $1,254.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.55 / $1,051.31 / $5,601.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.45 / $524.48 / $1,213.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.45 / $551.66 / $1,354.09