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Minnesota rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $114.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $43.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $109.65 / $213.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $38.02 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $45.71