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Minnesota rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $524.81 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $257.04 / $288.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $501.19 / $977.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $144.54 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $74.13 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $74.13 / $169.82