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Minnesota rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $72.44 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $446.68 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $177.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $120.23 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $58.88 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $60.26 / $147.91