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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$82.98 / $104.41 / $112.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.54 / $362.69 / $429.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.54 / $135.93 / $171.76
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 / $134.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.50 / $101.52 / $157.91