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Alabama rates for HCPCS L3003

Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.36 / $190.36 / $190.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.11 / $190.36 / $190.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.10 / $157.10 / $157.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $209.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $183.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $93.57 / $147.99