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Minnesota rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $661 · 10th–90th $417–$4,2660%20%10th90th$661Professionalmedian $575 · 10th–90th $295–$6760%50%10th90th$575$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $575.44 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,187.76 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $851.14
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,137.96 / $4,265.80
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $575.44 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $275.42 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $812.83