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California rates for HCPCS L3030

Foot Insert Removable Formed To Patient Foot Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.33 / $49.33 / $258.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $55.00 / $390.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.46 / $136.15 / $284.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.84 / $49.10 / $85.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $106.26 / $189.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.51 / $119.09 / $277.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $71.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $44.92 / $103.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $89.75 / $107.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $62.83 / $152.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.50 / $428.17 / $428.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.13 / $839.24 / $872.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.52 / $189.52 / $189.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.46 / $89.70 / $107.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $61.54 / $88.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.41 / $169.41 / $169.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $40.98 / $89.75