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Arkansas rates for HCPCS L3002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.72 / $108.72 / $108.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $108.72 / $108.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.86 / $223.50 / $248.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.93 / $189.93 / $195.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.93 / $189.93 / $189.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $156.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $147.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.79 / $91.01 / $130.71