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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
$68.66 / $68.66 / $68.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $57.49 / $69.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.65 / $98.82 / $137.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $93.88 / $98.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $305.19 / $847.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $121.24 / $145.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.19 / $292.82 / $667.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $114.38 / $118.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.75 / $98.82 / $501.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $49.30 / $105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $49.30 / $111.49