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Minnesota rates for HCPCS L3001

Foot Insert Removable Molded To Patient Model Spenco Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.73 / $110.73 / $110.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $110.73 / $117.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.52 / $159.37 / $221.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $151.40 / $159.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $491.41 / $1,364.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $195.97 / $234.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.75 / $471.49 / $1,074.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $184.88 / $190.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.23 / $159.37 / $742.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $78.84 / $174.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $71.02 / $160.03