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Minnesota rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $60.26 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $223.87 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $89.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $223.87 / $426.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $60.26 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $28.84 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $26.30 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $74.13