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North Carolina 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
$171.31 / $171.31 / $295.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $171.31 / $171.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.86 / $188.23 / $357.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $146.72 / $156.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $94.64 / $225.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $171.31 / $222.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $113.00 / $142.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.90 / $227.90 / $350.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.48 / $97.60 / $153.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.68 / $906.14 / $906.14
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.57 / $1,424.48 / $1,424.48