go back

Minnesota rates for HCPCS L2500

Addition To Lower Extremity Thigh/Weight Bearing Gluteal/ Ischial Weight Bearing Ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.98 / $261.98 / $261.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $261.98 / $261.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.98 / $377.04 / $525.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.63 / $358.19 / $377.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $1,162.83 / $3,229.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.25 / $463.49 / $555.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.36 / $1,115.68 / $2,543.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.25 / $437.25 / $449.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.90 / $377.04 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $180.25 / $413.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $177.31 / $413.91