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Virginia rates for HCPCS L3003

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

Facilitymedian $209 · 10th–90th $98$2630%20%40%10th90th$209Professionalmedian $112 · 10th–90th $83$1910%20%40%10th90th$112$0.2$2.0$20.0$200.0$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $100.00 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $100.00 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $234.42
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $138.04 / $204.17
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $239.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $125.89 / $263.03
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $602.56
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $93.33 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $102.33 / $165.96