go back

Connecticut rates for HCPCS L3001

Foot Insert Removable Molded To Patient Model Spenco Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $75.59 / $75.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.69 / $74.34 / $78.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.55 / $155.55 / $177.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $86.70 / $90.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $64.94 / $88.96
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.11 / $101.11 / $101.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.11 / $101.11 / $143.11
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.32 / $56.32 / $56.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.22 / $77.59 / $129.33