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Florida 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
$81.06 / $89.83 / $102.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $94.56 / $171.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.72 / $146.72 / $146.72
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 / $129.63
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $120.15 / $120.15
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.25 / $120.15 / $195.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.11 / $83.26 / $91.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $95.57 / $124.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.26 / $83.26 / $104.15