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Minnesota rates for HCPCS L3254

Nonstandard size or width

Facilitymedian $16 · 10th–90th $14$830%50%10th90th$16Professionalmedian $16 · 10th–90th $13$160%50%10th$16$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29