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Minnesota rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $120.23 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $446.68 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $177.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $120.23 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $56.23 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $58.88 / $144.54