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Minnesota rates for HCPCS L2640

Addition To Lower Extremity Pelvic Control Band And Belt Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.06 / $263.06 / $263.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.83 / $263.06 / $275.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.32 / $378.59 / $527.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.87 / $359.66 / $378.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $1,168.01 / $3,244.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $465.08 / $557.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.43 / $1,120.65 / $2,554.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $438.75 / $451.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.60 / $378.59 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $188.88 / $416.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $188.88 / $407.28