go back

Washington, DC 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
$116.58 / $116.58 / $116.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.58 / $116.58 / $116.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $153.80 / $153.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.16 / $165.16 / $522.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.17 / $174.23 / $261.79