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Arizona rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $96.83 / $171.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $180.13 / $325.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $166.21 / $226.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $225.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $126.90 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.31 / $86.72 / $130.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $86.72 / $130.63