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Louisiana 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
$114.07 / $121.09 / $163.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.23 / $121.09 / $131.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.70 / $313.83 / $441.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.27 / $149.85 / $149.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $149.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $97.34 / $144.18