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Minnesota rates for HCPCS L2650

Addition To Lower Extremity Pelvic And Thoracic Control Gluteal Pad Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.84 / $115.84 / $115.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.07 / $115.84 / $115.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.82 / $166.73 / $232.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $158.38 / $166.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $514.16 / $1,428.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.13 / $204.71 / $245.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.26 / $493.32 / $1,124.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.13 / $193.13 / $198.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.85 / $166.73 / $701.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $72.45 / $183.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $75.31 / $225.09