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Colorado 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
$118.85 / $118.85 / $118.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $118.85 / $158.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.23 / $238.46 / $432.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.51 / $111.51 / $114.86
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 / $223.57
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $118.85 / $267.00
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.40 / $60.40 / $60.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.93 / $265.29 / $420.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.96 / $93.57 / $148.40