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Kansas rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $173.78 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $281.84 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $302.00 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $251.19