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Minnesota rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.94 / $216.74 / $366.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.74 / $195.32 / $286.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.22 / $311.94 / $434.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.55 / $296.33 / $311.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $962.13 / $2,672.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.50 / $383.19 / $459.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.21 / $923.12 / $2,104.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.50 / $361.50 / $372.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.18 / $311.94 / $1,620.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.28 / $252.28 / $335.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $154.24 / $155.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $155.62 / $335.58