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Minnesota rates for HCPCS L8430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.20 / $23.40 / $23.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.43 / $28.52 / $39.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $27.09 / $28.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $87.94 / $244.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $34.97 / $41.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.21 / $84.37 / $192.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $34.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.81 / $28.52 / $140.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $14.80 / $28.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $14.23 / $28.63