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Wyoming 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
$118.85 / $118.85 / $185.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.26 / $207.26 / $207.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.26 / $207.26 / $207.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $229.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $108.85 / $149.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $93.57 / $103.88