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Mississippi 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
$67.31 / $67.31 / $107.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $79.02 / $114.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.80 / $205.80 / $226.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.00 / $196.00 / $196.00
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 / $41.25 / $56.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $42.50 / $169.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $67.12 / $117.07