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Louisiana rates for HCPCS L3003

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $316.23 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
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 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $169.82 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $141.25