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Minnesota rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $371.54 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $144.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $363.08 / $691.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $97.72 / $223.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $47.86 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $48.98 / $120.23