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Washington, DC 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
$83.88 / $83.88 / $83.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $83.88 / $83.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $114.40 / $140.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $108.85 / $108.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.21 / $133.21 / $406.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.16 / $100.10 / $159.15