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Minnesota rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $15.82 / $15.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.82 / $16.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.18 / $18.89 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $17.95 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $57.93 / $160.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $23.06 / $27.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $55.59 / $126.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $22.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $18.89 / $101.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $10.53 / $22.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $9.43 / $18.97