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Minnesota rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.89 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $77.62 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $30.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $77.62 / $147.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $32.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $20.89 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.12 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $9.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.23 / $25.70