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Florida rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.12 / $50.79 / $478.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $50.79 / $83.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.60 / $91.60 / $91.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $71.95
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.92 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.05 / $86.37 / $149.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $74.94 / $82.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $56.64 / $88.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $74.94 / $74.94