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Minnesota rates for HCPCS L4210

Repair Of Orthotic Device Repair Or Replace Minor Parts (Special Coverage Instructions Apply. See Mcm: 2133 2100.4 2130d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $22.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $18.69 / $101.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $18.32 / $18.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.75 / $97.94 / $235.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $29.29 / $34.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $81.39 / $185.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $27.38 / $32.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.60 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $18.00 / $40.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $27.00 / $28.77