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Minnesota rates for HCPCS L3003

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.85 / $145.85 / $145.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.91 / $145.85 / $154.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.82 / $209.91 / $292.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.93 / $199.41 / $209.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $647.63 / $1,798.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.38 / $257.98 / $309.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.49 / $621.37 / $1,416.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.38 / $243.38 / $250.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.21 / $209.91 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $103.88 / $229.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $100.35 / $210.79