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Minnesota rates for HCPCS L2190

Addition to lower extremity fracture orthosis, waist belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $58.88 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $102.33 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $151.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $380.19 / $724.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $102.33 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $48.98 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $48.98 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $125.89