go back

Minnesota rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $2,398.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $537.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $338.84 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $165.96 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $407.38