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Minnesota rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.40 / $39.40 / $58.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $39.40 / $57.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.58 / $56.71 / $78.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $53.87 / $56.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $174.84 / $485.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $69.56 / $83.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.80 / $167.75 / $382.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $65.63 / $67.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $56.71 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $28.27 / $56.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $28.06 / $58.99