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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
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.11 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $61.66 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $229.09 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $81.28 / $89.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $229.09 / $436.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $61.66 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $27.54 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $26.92 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $74.13