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Minnesota rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.72 / $26.72 / $26.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $26.72 / $37.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.42 / $26.42 / $334.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $26.42 / $26.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $110.70 / $307.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $42.53 / $50.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.72 / $105.18 / $242.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $40.13 / $42.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $55.60 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $23.23 / $51.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $22.95 / $46.75