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Minnesota rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $64.66 / $64.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.53 / $54.83 / $67.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.72 / $93.06 / $129.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $88.41 / $93.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $287.60 / $798.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $114.48 / $137.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.75 / $275.94 / $628.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $111.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.53 / $93.06 / $432.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $45.98 / $98.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $48.84 / $163.46