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Minnesota rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,949.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $281.84 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $138.04 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $346.74