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Washington, DC rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.86 / $63.86 / $63.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.86 / $63.86 / $63.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $41.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $90.47 / $286.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.06 / $95.45 / $143.41