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Minnesota rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.40 / $672.40 / $672.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.48 / $665.80 / $672.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.98 / $967.72 / $1,347.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.18 / $919.33 / $967.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $2,985.71 / $8,292.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.00 / $1,189.32 / $1,424.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.58 / $2,864.64 / $6,529.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.00 / $1,122.00 / $1,154.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.82 / $967.72 / $4,031.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.46 / $408.88 / $971.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.46 / $418.76 / $971.76