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Minnesota rates for HCPCS L3002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.19 / $135.19 / $135.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.83 / $135.19 / $143.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.69 / $194.59 / $270.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $184.86 / $194.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $600.04 / $1,666.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.75 / $239.30 / $286.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.24 / $575.71 / $1,312.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.75 / $225.75 / $232.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $194.59 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.81 / $96.84 / $212.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $102.11 / $341.80