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Minnesota rates for HCPCS L4110

Replace Leather Cuff Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.38 / $66.38 / $66.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $66.38 / $70.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $95.54 / $133.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.43 / $90.76 / $95.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $294.85 / $818.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $117.26 / $140.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.05 / $282.89 / $644.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $110.63 / $114.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $95.54 / $510.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $47.66 / $111.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $53.33 / $167.82