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Rhode Island rates for HCPCS L3221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $72.73 / $83.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $168.76 / $195.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.44 / $86.40 / $96.00
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
$48.68 / $63.34 / $98.43