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Ohio 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
$104.52 / $104.52 / $352.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.47 / $104.52 / $119.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.72 / $214.05 / $554.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.61 / $106.32 / $256.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.94 / $194.59 / $262.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.17 / $176.08 / $416.66
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 / $94.64 / $161.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $129.63 / $129.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $70.48 / $92.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $96.22 / $130.66