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Mississippi 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
$118.28 / $118.28 / $188.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.64 / $134.91 / $188.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.55 / $163.55 / $163.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.55 / $163.55 / $163.55
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $98.19 / $157.18