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Minnesota rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.17 / $20.17 / $20.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $20.17 / $25.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $60.00 / $294.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $83.80 / $232.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $32.20 / $38.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.75 / $79.62 / $183.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $30.38 / $32.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $38.56 / $141.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.53 / $38.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.32 / $38.64