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Rhode Island rates for HCPCS L3020

Foot Insert Removable Molded To Patient Model Longitudinal/ Metatarsal Support Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $128.26 / $213.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.88 / $445.51 / $527.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.94 / $167.00 / $210.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $153.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $134.37 / $153.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.13 / $124.29 / $193.99