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Minnesota rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $158.49 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $602.56 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $234.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,122.02
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $158.49 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $70.79 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $194.98