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Minnesota rates for HCPCS L8010

Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.59 / $124.22 / $298.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $58.33 / $73.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.88 / $103.23 / $235.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.40 / $57.75 / $57.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.91 / $146.91 / $146.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.18 / $50.52 / $194.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00