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Minnesota rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $71.34 / $71.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $71.34 / $75.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.97 / $102.69 / $143.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $97.56 / $102.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $316.57 / $879.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $126.01 / $150.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.95 / $303.74 / $692.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $118.88 / $122.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.43 / $102.69 / $478.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $50.81 / $112.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $51.11 / $106.84