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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
$22.69 / $22.69 / $22.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $22.69 / $28.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.60 / $222.72 / $1,092.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $185.60 / $185.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $94.14 / $261.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $39.68 / $43.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.89 / $89.45 / $205.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $34.13 / $36.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $43.70 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $19.72 / $43.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $19.69 / $39.70