go back

Minnesota rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.98 / $262.98 / $262.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $236.60 / $790.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.23 / $378.49 / $527.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.79 / $359.57 / $378.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $1,168.01 / $3,244.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $465.08 / $557.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.43 / $1,120.65 / $2,554.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $438.75 / $451.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.17 / $378.49 / $1,762.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $188.71 / $380.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $168.68 / $380.08