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Minnesota rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $81.00 / $81.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.40 / $60.49 / $114.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.86 / $116.57 / $162.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.26 / $110.74 / $116.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $360.02 / $999.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $143.10 / $171.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.74 / $345.42 / $787.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $139.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $116.57 / $535.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.34 / $56.21 / $123.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $55.74 / $117.07