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Louisiana 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
$205.65 / $218.30 / $294.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.65 / $218.30 / $790.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.19 / $565.78 / $795.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.86 / $270.16 / $270.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $165.48 / $211.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $175.51 / $259.93