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Alabama 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
$208.59 / $208.59 / $208.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $208.59 / $208.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.00 / $272.00 / $272.00
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
$95.13 / $136.94 / $259.97