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Minnesota rates for HCPCS L0984

Protective Body Sock Prefabricated Off-The- Shelf Each (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.65 / $56.65 / $56.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.41 / $56.65 / $56.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.27 / $87.03 / $114.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.22 / $77.45 / $81.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $251.40 / $698.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $100.17 / $120.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.25 / $241.20 / $549.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $94.50 / $97.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.37 / $81.53 / $353.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $37.45 / $86.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $37.45 / $115.54