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Minnesota rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.45 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $50.12 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.89 / $23.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $56.23 / $95.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $16.98 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.71 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.71 / $19.50