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Kentucky rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $43.07 / $72.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.54 / $43.36 / $72.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $82.15 / $101.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.95 / $190.94 / $358.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $103.26 / $194.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $103.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $405.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.81 / $151.75 / $182.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $52.04 / $76.84