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Minnesota rates for HCPCS L3580

Orthopedic Shoe Addition Convert Instep To Velcro Closure (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.30 / $54.30 / $54.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.08 / $54.30 / $57.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.94 / $78.14 / $108.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.51 / $74.23 / $78.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $241.05 / $669.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.75 / $96.20 / $115.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.11 / $231.28 / $527.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.75 / $90.75 / $93.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $78.14 / $363.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.22 / $38.67 / $85.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.22 / $38.67 / $81.30