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Minnesota rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $131.83 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $39.81 / $44.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $125.89 / $245.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $28.84 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $14.13 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $35.48