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Minnesota rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.58 / $42.58 / $42.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.30 / $42.58 / $45.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.50 / $61.29 / $85.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $58.23 / $61.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $189.32 / $525.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $75.13 / $90.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $181.65 / $414.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $70.88 / $73.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $61.29 / $285.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $30.51 / $63.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $30.34 / $61.54