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Nationwide rates for HCPCS L3250

Orthopedic Footwear Custom Molded Shoe Removable Inner Mold Prosthetic Shoe Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.57 / $136.43 / $161.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.15 / $134.12 / $175.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.74 / $183.74 / $420.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $183.74 / $225.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $210.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $210.68 / $217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.56 / $142.69 / $253.20