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Minnesota rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $91.00 / $91.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.23 / $91.00 / $114.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $321.60 / $1,577.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.40 / $268.00 / $268.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $377.61 / $1,048.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $145.09 / $173.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.18 / $358.80 / $825.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $136.88 / $146.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $174.27 / $638.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $79.11 / $174.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $79.11 / $174.40