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Ohio 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
$60.21 / $60.21 / $546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $60.21 / $84.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.14 / $137.04 / $193.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.38 / $143.61 / $209.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.38 / $103.41 / $184.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $187.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $56.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $56.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.76 / $93.23 / $110.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $71.62 / $119.21