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Minnesota rates for HCPCS L8410

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $20.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $20.83 / $20.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.30 / $24.86 / $34.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $23.62 / $24.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $76.56 / $212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $30.61 / $36.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.45 / $73.45 / $167.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $29.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $24.86 / $132.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $13.04 / $26.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $13.04 / $26.54