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Minnesota rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.02 / $529.02 / $529.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $529.02 / $529.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.21 / $761.36 / $1,060.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.09 / $723.29 / $761.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $2,349.46 / $6,525.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $935.72 / $1,121.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.85 / $2,254.19 / $5,138.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $882.75 / $908.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.93 / $761.36 / $3,518.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $362.18 / $764.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $328.90 / $764.55