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Minnesota rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.09 / $21.09 / $21.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $20.56 / $21.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $25.18 / $35.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $23.92 / $25.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $77.59 / $215.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $31.01 / $37.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $74.45 / $169.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $25.18 / $125.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $13.56 / $25.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $31.12 / $37.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $13.00 / $48.51