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Minnesota rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.32 / $38.32 / $38.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $38.32 / $48.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.00 / $120.00 / $144.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $159.32 / $442.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $61.22 / $73.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.59 / $151.38 / $348.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $61.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $73.51 / $269.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $33.31 / $73.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $33.31 / $73.43