go back

Minnesota rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.07 / $109.07 / $109.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $109.07 / $115.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.47 / $156.97 / $218.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.58 / $149.12 / $156.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $484.17 / $1,344.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.88 / $192.79 / $230.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $464.54 / $1,058.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.88 / $181.88 / $187.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.53 / $156.97 / $730.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $78.12 / $163.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $78.23 / $237.10