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Louisiana 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
$112.20 / $112.20 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $288.40 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $154.88 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $123.03