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Minnesota rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.08 / $34.08 / $34.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $34.08 / $36.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.01 / $49.04 / $68.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $46.59 / $49.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $151.04 / $419.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $60.42 / $72.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.67 / $144.91 / $330.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $58.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $49.04 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $24.26 / $53.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $21.86 / $49.25