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Minnesota rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.99 / $58.99 / $58.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.03 / $58.99 / $73.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.97 / $33.26 / $180.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $32.61 / $33.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $245.19 / $680.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $117.42 / $144.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.57 / $235.25 / $536.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.46 / $114.00 / $114.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $113.10 / $414.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $51.28 / $113.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $51.19 / $103.73