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Wyoming 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
$214.25 / $214.26 / $335.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.63 / $373.63 / $373.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.63 / $373.63 / $373.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $414.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $211.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.44 / $168.68 / $187.26