Details: Removable, Molded Arch Support; Each. L3020 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.
Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?
Cost Key: |
Lower Cost | Medium Cost | Higher Cost |
Facility ![]() |
City/State |
Average Cost Range ![]() |
||
|---|---|---|---|---|
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Fairview Home Medical Equipment (4) | $221.30 - $270.48 | |||||
| Fairview Home Medical Equipment | Edina, MN | $221.30 - $270.48 | |||||
| Fairview Home Medical Equipment | Minneapolis, MN | $221.30 - $270.48 | |||||
| Fairview Home Medical Equipment | Burnsville, MN | $221.30 - $270.48 | |||||
| Fairview Home Medical Equipment | Saint Paul, MN | $221.30 - $270.48 | |||||
| Fairview Ortho and Prosth- University | Minneapolis, MN | $221.30 - $270.48 | |||||
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Fairview Orthotics and Prosthetics (7) | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Robbinsdale, MN | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Plymouth, MN | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Burnsville, MN | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Edina, MN | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Blaine, MN | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Saint Paul, MN | $221.30 - $270.48 | |||||
| Fairview Orthotics and Prosthetics | Minneapolis, MN | $221.30 - $270.48 | |||||
| Fairview Riverside Pharmacy | Minneapolis, MN | $221.30 - $270.48 | |||||
| Fairview Univ Med Ctr Dept of Pharmaceutical Serv | Minneapolis, MN | $221.30 - $270.48 | |||||
| Foot Support | Saint Cloud, MN | $172.50 - $179.64 | |||||
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North Metro Orthotics & Prosthetics Inc (2) | $172.50 - $179.64 | |||||
| North Metro Orthotics and Prosthetics, Inc. | Coon Rapids, MN | $172.50 - $179.64 | |||||
| North Metro Orthotics and Prosthetics, Inc. | Fridley, MN | $172.50 - $179.64 | |||||
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Tillges Certified Orthotic Prosthetic Inc (9) | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic Inc | Saint Paul, MN | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Saint Croix Falls, WI | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Osceola, WI | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Saint Paul, MN | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Woodbury, MN | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Minneapolis, MN | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | New Richmond, WI | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Amery, WI | $172.50 - $179.64 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Maplewood, MN | $172.50 - $179.64 | |||||
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Winkley Orthotics & Prosthetics (8) | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Rice Lake, WI | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Minneapolis, MN | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Golden Valley, MN | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Coon Rapids, MN | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Red Wing, MN | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Cambridge, MN | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Woodbury, MN | $172.50 - $179.64 | |||||
| Winkley Orthotics & Prosthetics | Eau Claire, WI | $172.50 - $179.64 |
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