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Arizona 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
Professional
Modifier
Low / Median / High Price
$81.98 / $104.47 / $184.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.80 / $194.35 / $351.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.51 / $179.34 / $244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $108.85 / $243.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $136.91 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $93.57 / $140.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $93.57 / $140.94