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Minnesota rates for HCPCS L3640

Transfer Of An Orthosis From One Shoe To Another Dennis Browne Splint (Riveton) Both Shoes (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $36.22 / $36.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $36.22 / $38.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.93 / $55.64 / $73.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.70 / $49.51 / $52.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $160.36 / $445.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $64.00 / $76.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.20 / $153.85 / $350.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $60.38 / $62.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $52.12 / $242.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $25.77 / $57.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $23.01 / $23.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $25.92 / $68.80