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Minnesota rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.77 / $256.77 / $256.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.68 / $256.77 / $323.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.58 / $369.55 / $514.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.64 / $351.07 / $369.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $1,140.07 / $3,166.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.25 / $453.95 / $543.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.85 / $1,093.84 / $2,493.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.25 / $428.25 / $440.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.60 / $369.55 / $1,940.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $184.37 / $437.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $193.92 / $480.42