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Nevada 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
$88.94 / $102.62 / $213.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $88.94 / $116.58
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 / $210.68 / $367.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $493.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $142.69 / $265.85