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Minnesota rates for HCPCS L4020

Replace Quadrilateral Socket Brim, Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.72 / $807.72 / $807.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.33 / $807.72 / $807.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.82 / $1,162.49 / $1,618.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.99 / $1,104.36 / $1,162.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $3,586.78 / $9,961.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.75 / $1,428.62 / $1,711.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,129.42 / $3,441.34 / $7,844.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.75 / $1,347.75 / $1,386.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.91 / $1,162.49 / $5,145.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $523.94 / $1,199.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.73 / $479.78 / $484.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $540.58 / $1,167.34