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Minnesota rates for HCPCS L3254

Nonstandard size or width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.05 / $14.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $17.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $15.69 / $92.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $15.69 / $15.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $10.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.75 / $10.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.05 / $28.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90