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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
$83.17 / $83.17 / $83.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $83.17 / $86.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.54 / $119.70 / $166.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $113.72 / $119.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $369.33 / $1,025.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $147.08 / $176.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.27 / $354.36 / $807.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.75 / $138.75 / $142.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.79 / $119.70 / $593.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $57.22 / $143.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $59.71 / $158.00