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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
$193.84 / $193.84 / $193.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.09 / $193.84 / $270.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.98 / $278.97 / $388.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.18 / $265.02 / $278.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $860.75 / $2,390.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.25 / $342.65 / $410.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.01 / $825.84 / $1,882.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.25 / $323.25 / $332.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $278.97 / $1,530.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $150.26 / $300.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $146.38 / $300.10