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Minnesota rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $102.18 / $102.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $76.04 / $102.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.97 / $147.06 / $204.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.65 / $139.71 / $147.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $454.17 / $1,261.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.63 / $180.86 / $216.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.63 / $435.75 / $993.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.63 / $170.63 / $175.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $147.06 / $659.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $70.53 / $147.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $70.53 / $191.18