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Louisiana 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
$74.44 / $85.13 / $106.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.79 / $79.02 / $85.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.87 / $87.55 / $95.16
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 / $56.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $75.00 / $126.73