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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$89.54 / $112.64 / $121.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.75 / $391.36 / $463.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.81 / $174.20 / $180.13
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
$80.06 / $109.54 / $170.41