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Mississippi 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
$117.49 / $117.49 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
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 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $169.82 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $144.54