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Minnesota rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $645.65 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $954.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $4,570.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $645.65 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $269.15 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $257.04 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $794.33