go back

Iowa 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
$145.85 / $145.85 / $154.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $112.64 / $188.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $229.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.11 / $243.38 / $304.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.41 / $244.32 / $268.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.25 / $247.95 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $108.14 / $284.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.16 / $229.83 / $284.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.23 / $268.47 / $439.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.74 / $104.23 / $274.04
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.49 / $198.49 / $198.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.81 / $198.49 / $198.49