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Minnesota rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,570.40 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,023.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $4,897.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $691.83 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $398.11 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $812.83