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Pennsylvania 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
$61.00 / $63.59 / $246.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.21 / $64.52 / $82.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.63 / $138.68 / $138.68
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 / $103.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.59 / $63.59 / $246.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $63.59 / $74.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.80 / $308.80 / $308.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $41.25 / $136.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $84.35 / $147.72