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Rhode Island rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Facilitymedian $372 · 10th–90th $115–$4790%10%20%10th90th$372Professionalmedian $110 · 10th–90th $89–$1740%20%10th90th$110$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $104.71 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $407.38 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $173.78 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $169.82