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Washington, DC 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
$77.73 / $77.73 / $77.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $77.73 / $77.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.03 / $106.03 / $129.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $94.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.45 / $123.45 / $377.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $94.75 / $199.31