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Minnesota rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $588.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,818.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $398.11 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $199.53 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $489.78