go back

Arkansas 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
$117.31 / $117.31 / $117.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $117.31 / $117.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.20 / $241.15 / $267.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.94 / $204.94 / $211.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.94 / $204.94 / $204.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $168.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $164.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $95.06 / $127.17