go back

Minnesota rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.51 / $579.51 / $579.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.64 / $465.70 / $579.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.67 / $691.87 / $963.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.50 / $657.28 / $691.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $2,134.28 / $5,927.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.13 / $850.25 / $1,018.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.08 / $2,047.73 / $4,667.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.13 / $802.13 / $825.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.18 / $691.87 / $3,120.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $338.48 / $695.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $338.48 / $694.75