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Minnesota rates for HCPCS L4002

Replacement Strap Any Orthosis Includes All Components Any Length Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $44.88 / $220.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $37.40 / $37.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.80 / $108.69 / $261.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $32.60 / $39.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.89 / $90.33 / $205.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $36.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $42.25 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $38.52 / $43.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $43.87 / $43.87