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Colorado rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.70 / $125.70 / $125.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.15 / $125.70 / $175.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $183.74 / $183.74
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 / $153.80 / $350.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.34 / $109.34 / $304.00
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.34 / $109.34 / $109.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $436.00 / $436.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.59 / $142.69 / $245.25