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Minnesota rates for HCPCS L4361

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $107.15 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $213.80 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $457.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $2,187.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $309.03 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $245.47 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $154.88 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $389.05