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Minnesota rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $141.25 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $416.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,995.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $281.84 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $117.49 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $104.71 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $346.74