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Minnesota rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.54 / $65.54 / $65.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.59 / $65.54 / $92.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.30 / $98.11 / $533.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $96.19 / $98.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $272.08 / $755.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $104.54 / $125.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.53 / $258.52 / $595.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $98.63 / $105.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.24 / $125.95 / $460.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $56.98 / $125.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $65.16 / $157.99