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Kansas 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
$173.02 / $173.02 / $173.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.40 / $113.36 / $173.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.42 / $116.10 / $123.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.24 / $115.24 / $115.24
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 / $149.11 / $304.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $168.38 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $104.23 / $266.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.36 / $99.58 / $139.61