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Rhode Island rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $30.42 / $32.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.23 / $105.67 / $125.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $30.02 / $48.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $31.65 / $31.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $25.04 / $25.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $29.48 / $46.01