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Minnesota rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.81 / $159.81 / $159.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $159.81 / $159.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.23 / $245.51 / $323.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $218.50 / $230.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $709.70 / $1,971.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.63 / $282.62 / $338.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.34 / $680.92 / $1,552.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.63 / $266.63 / $274.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.85 / $230.00 / $992.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $103.26 / $230.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $92.18 / $93.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $95.63 / $230.97