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Arizona rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.61 / $208.61 / $208.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.76 / $203.06 / $790.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $332.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.07 / $296.49 / $536.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.27 / $273.57 / $341.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $211.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $246.83 / $1,762.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $168.68 / $254.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $168.68 / $254.09