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Louisiana 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
$218.78 / $218.78 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $562.34 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
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 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $302.00 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $239.88