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Rhode Island rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $512.86 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $741.31 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $389.05
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 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $208.93 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $309.03