go back

Kansas 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
$160.35 / $160.35 / $160.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $105.06 / $160.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.75 / $275.92 / $293.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.12 / $262.12 / $262.12
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 / $282.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $156.06 / $906.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.81 / $96.61 / $247.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $96.61 / $129.40