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Minnesota rates for HCPCS L2090

Hip Knee Ankle Foot Orthosis Torsion Control Unilateral Torsion Cable Ball Bearing Hip Joint Pelvic Band/ Belt Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.26 / $416.26 / $416.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $416.26 / $416.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.20 / $599.09 / $834.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.27 / $569.14 / $599.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $1,848.74 / $5,134.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.50 / $736.17 / $882.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.58 / $1,773.78 / $4,043.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.50 / $694.50 / $714.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.88 / $599.09 / $2,619.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.30 / $273.98 / $601.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.30 / $275.20 / $1,026.66