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Arizona rates for HCPCS L3003

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

Facilitymedian $166 · 10th–90th $60–$4270%10%10th90th$166Professionalmedian $110 · 10th–90th $87–$1910%20%10th90th$110$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $223.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $138.04 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $141.25