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Minnesota rates for HCPCS L3360

Sole Wedge Outside Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.81 / $29.81 / $29.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $29.81 / $31.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.97 / $45.79 / $60.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.32 / $40.76 / $42.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $132.41 / $367.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $52.87 / $63.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.62 / $127.05 / $289.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $49.88 / $51.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $42.90 / $199.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $21.35 / $46.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $21.39 / $55.77