go back

Wyoming rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $110.15 / $172.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.09 / $192.09 / $192.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.09 / $192.09 / $192.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $172.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $86.72 / $132.71