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Minnesota rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $120.23 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $457.09 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $177.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $851.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $120.23 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $53.70 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $147.91