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Minnesota rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.79 / $45.79 / $45.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $45.79 / $48.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.79 / $70.33 / $92.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $62.60 / $65.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $203.81 / $566.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $81.09 / $97.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.00 / $195.54 / $445.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $76.50 / $78.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.53 / $65.89 / $306.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $32.61 / $72.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $78.48 / $94.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $32.09 / $74.00