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Illinois 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
$68.23 / $68.23 / $68.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $68.23 / $106.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $136.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.70 / $418.39 / $446.88
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $81.22 / $142.99