go back

Mississippi 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
$213.26 / $213.26 / $339.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $243.25 / $339.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.89 / $294.89 / $294.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.89 / $294.89 / $294.89
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 / $154.22 / $211.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $178.70 / $259.93