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Minnesota rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $10.08 / $14.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $17.28 / $84.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $14.40 / $14.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $41.38 / $114.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $19.48 / $23.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.57 / $39.70 / $90.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $18.38 / $18.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $19.53 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.22 / $27.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.67 / $27.07