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Arkansas rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $218.78 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $125.89