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Florida 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
$87.45 / $96.91 / $111.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $102.01 / $184.82
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 / $149.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.28 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $148.35 / $211.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.85 / $168.85 / $168.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $103.10 / $134.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.51 / $111.51 / $211.07