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Washington, DC 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
$151.19 / $151.19 / $151.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.19 / $151.19 / $250.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.08 / $194.08 / $194.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $154.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.12 / $240.12 / $733.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.86 / $184.30 / $276.89