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North Carolina 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
$184.82 / $184.82 / $318.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.11 / $184.82 / $184.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.27 / $313.08 / $385.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.47 / $158.30 / $168.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $243.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $184.82 / $240.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $122.00 / $153.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.90 / $245.90 / $378.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.44 / $104.36 / $152.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.79 / $977.65 / $977.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.91 / $1,537.05 / $1,537.05