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Minnesota rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Facilitymedian $79 · 10th–90th $35–$2000%20%10th90th$79Professionalmedian $36 · 10th–90th $25–$370%20%40%10th90th$36$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $114.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $38.90
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $194.98
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $41.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $67.61 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.90 / $69.18