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Minnesota rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.79 / $61.79 / $61.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.99 / $61.79 / $66.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.18 / $88.92 / $123.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $84.47 / $88.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $274.16 / $761.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $109.31 / $130.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.76 / $263.04 / $599.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $103.13 / $106.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.28 / $88.92 / $416.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $42.46 / $103.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $38.02 / $89.30