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Minnesota rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $346.74 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $123.03 / $138.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $346.74 / $660.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $93.33 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $41.69 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $40.74 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $112.20