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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
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $33.11 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $302.00 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $128.82 / $144.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $316.23 / $562.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $100.00 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $50.12 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $114.82