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Kentucky 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
$101.21 / $195.59 / $202.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.21 / $203.06 / $294.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.87 / $283.87 / $283.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.89 / $380.55 / $399.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.78 / $110.78 / $221.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.41 / $418.61 / $605.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.49 / $473.11 / $608.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $445.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $211.27 / $668.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $247.24 / $309.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.57 / $174.58 / $250.88