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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$161.40 / $203.06 / $790.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.29 / $705.42 / $835.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.73 / $264.39 / $334.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $165.48 / $211.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $197.46 / $307.16