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Kansas rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.39 / $40.39 / $40.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $26.47 / $40.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $21.60 / $22.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $22.25 / $22.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $71.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $39.32 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $24.34 / $62.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $24.26 / $32.60