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Delaware rates for HCPCS L3003

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $93.33 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $154.88