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Minnesota rates for HCPCS L8417

Prosthetic Sheath/Sock Including A Gel Cushion Layer Below Knee Or Above Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.05 / $76.05 / $76.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.91 / $71.39 / $76.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.78 / $90.80 / $126.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.64 / $86.26 / $90.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $280.36 / $778.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $111.70 / $133.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.45 / $266.39 / $613.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $105.38 / $108.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $90.80 / $423.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $45.25 / $91.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $45.16 / $91.17