go back

Kentucky 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
$49.31 / $100.55 / $104.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.39 / $100.01 / $104.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.22 / $145.22 / $145.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.79 / $195.64 / $205.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.96 / $56.96 / $113.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.72 / $272.43 / $313.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.86 / $243.24 / $322.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $229.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $116.43 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.63 / $122.72 / $153.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $95.57 / $154.81