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Minnesota rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $11.93 / $23.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $11.94 / $58.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.94 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $38.28 / $106.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.42 / $16.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $36.72 / $83.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.75 / $14.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $18.79 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $9.94 / $30.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $8.00 / $8.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $8.75 / $16.39