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Colorado rates for HCPCS L3002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $110.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $110.15 / $147.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.70 / $221.01 / $401.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.80 / $113.80 / $122.90
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $106.95 / $247.46
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $55.99 / $55.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.53 / $245.88 / $373.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $86.72 / $130.63