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North Carolina rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.93 / $115.93 / $115.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.86 / $115.93 / $115.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.28 / $81.09 / $89.21
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $115.93 / $234.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $205.00 / $205.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.20 / $164.20 / $164.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $74.18 / $115.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.98 / $662.25 / $662.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.17 / $1,021.13 / $1,021.13