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Minnesota rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.37 / $307.37 / $307.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.29 / $276.42 / $354.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.95 / $442.37 / $616.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.90 / $420.25 / $442.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $1,364.57 / $3,789.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $543.78 / $651.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.13 / $1,309.24 / $2,984.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $513.00 / $527.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.74 / $442.37 / $2,336.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.42 / $246.44 / $514.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $220.69 / $472.28