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Louisiana 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
$144.54 / $144.54 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $141.25 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $131.83 / $218.78