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Louisiana 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
$53.61 / $61.31 / $76.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.54 / $56.91 / $65.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $63.06 / $68.54
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 / $69.84 / $69.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $53.25 / $88.50